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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013418111
Report Date: 05/13/2019
Date Signed: 05/13/2019 02:40:07 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/17/2019 and conducted by Evaluator Dayna Collier
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20190417110903
FACILITY NAME:MASOOD, SOFIAFACILITY NUMBER:
013418111
ADMINISTRATOR:MASOOD, SOFIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 489-1074
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:14CENSUS: 13DATE:
05/13/2019
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Sofia MasoodTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
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5
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9
Personal Rights- Staff handled daycare child in a physically inappropriate manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 05/13/19, LPAs Briana Plumboy and Dayna Collier met with with licensee Sofia Masood for a complaint investigation. Present during the inspection was assistants Sharmin Kadri, assistant Monowara Begum, licensees teenage daughter, licensees husband Junaid Bawazir, and 13 children in care (2 infants, 11 preschool age children). LPAs toured the facility.
It was alleged the staff handled a daycare child in an inappropriate manner by slapping and hitting a child in the face. Through interviews, it could not be determined whether the incident occured and or the child's personal rights were violated by staff due to inconsistant statements.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. A notice of site visit was given and must remain posted for 30 days. Exit interviewed conducted and appeal rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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