197406880-12-16-2019-30-CC-MRUZ-BKCSAQ-20191230124240

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197406880
Report Date: 12/12/2019
Date Signed: 12/16/2019 09:05:45 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/16/2019 and conducted by Evaluator Silva Garibyan

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20191016164855

FACILITY NAME:	ZOLFAGHARI FAMILY CHILD CARE		FACILITY NUMBER:	197406880
ADMINISTRATOR:	ZOLFAGHARI MARYAM		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 341-6830
CITY:	CHATSWORTH	STATE: CA	ZIP CODE:	91311
CAPACITY:	14	CENSUS: 3	DATE:	12/12/2019
		UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Maryam Zolfaghari/Licensee		TIME COMPLETED:	03:25 PM

ALLEGATION(S):

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1) Personal Rights: Adult in home had inappropriate interactions with daycare child.
2) Personal Rights: Adult in home spoke inappropriately to day care child.
3) Personal Rights: Licensee hit day care child.
4)Personal Rights: Licensee handled infant in a rough manner.
5) Personal Rights: Licensee is restraining infant.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Silva Garibyan conducted a visit to the facility for the purpose of delivering the findings on the above allegations. LPA met with Maryam Zolfaghari, Licensee , office assistant at 1 : 15 p.m on 12/12/2019. Licensee was present with three children and two assistants ( her daughter and her husband).

Based upon the evidence obtained through the course of investigation which include observations at the facility, interview with relevant parties there is insufficient evidence to support or disprove that Adult in home had inappropriate interactions with daycare child, Adult in home spoke inappropriately to day care child, Licensee hit day care child, Licensee handled infant in a rough manner, and Licensee is restraining infant. Therefore, this allegations have been determined unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
An exit interview was conducted and a copy of this report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

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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