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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417467
Report Date: 12/04/2019
Date Signed: 12/04/2019 12:17:05 PM



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
09/17/2019 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20190917151019
FACILITY NAME:NASSAR FAMILY CHILD CAREFACILITY NUMBER:
197417467
ADMINISTRATOR:NASSAR, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 912-6369
CITY:WEST HILLSSTATE: CAZIP CODE:
91304
CAPACITY:14CENSUS: 1DATE:
12/04/2019
UNANNOUNCEDTIME BEGAN:
11:06 AM
MET WITH:Maria Nassar/LicenseeTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights: Adult in home engaged in a verbal altercation in the presence of day care children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Silva Garibyan conducted a visit to the facility for the purpose of delivering the findings on the above allegation. LPA met with Maria Nassar, licensee. LPA Garibyan toured the facility with the licensee, at 11:10 a.m. on 12/04/2019. There was one infant present at the time of the visit.

Based upon the evidence obtained through the course of reviewing documentations and interviews, there is insufficient evidence to support or disprove that adult in home engaged in a verbal altercation in the presence of day care children Therefore, this allegation has 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 RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019
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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