197419792-1-24-2023-58-CC-RRAS-CP9SDN-20230221124725

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419792
Report Date: 01/24/2023
Date Signed: 01/24/2023 10:49:10 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
09/30/2022 and conducted by Evaluator Laticia S Thompson

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20220930164000

FACILITY NAME:	MOBAREZ FAMILY CHILD CARE		FACILITY NUMBER:	197419792
ADMINISTRATOR:	MOBAREZ, FARZAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 963-3525
CITY:	RESEDA	STATE: CA	ZIP CODE:	91335
CAPACITY:	14	CENSUS: 0	DATE:	01/24/2023
		UNANNOUNCED	TIME BEGAN:	09:39 AM
MET WITH:	Farzan Mobarez		TIME COMPLETED:	11:02 AM

ALLEGATION(S):

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Provider's conduct poses a risk to minors in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Laticia Thompson conducted an unannounced complaint visit to the above facility on 01/24/2023, at 10:27AM. LPA arrived at Mobarez Family Child Care Home and met with Farzan Mobarez, Licensee, who guided analyst on a tour of the facility. There were no children nor staff upon arrival.
The purpose of the visit is to deliver findings of an investigation conducted by the Department.

On 09/30/2022 the Department received a complaint alleging that the Provider’s conduct poses a risk to minors in care. On 10/03/23 LPA Miranda obtained a copy of the facility roster and conducted interviews to initiate the fact finding. Additional interviews were conducted and supporting documentation was obtained from Los Angeles Police Department (LAPD) by Investigator Spindola. The investigation conducted by Investigator Spindola revealed that on 9/23/2022,Licensee Farzan Mobarez went to Taft Hight School (THS) to pick up their child. The Licensee Farzan Mobarez recounted that they were involved in an incident that was an altercation between students. The incident resulted in a Temporary Restraining Order (TRO) against the Licensee.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) -301-3061
LICENSING EVALUATOR NAME: Laticia S Thompson	TELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2023

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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Control Number 58-CC-20220930164000

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: MOBAREZ FAMILY CHILD CARE	FACILITY NUMBER: 197419792
	VISIT DATE: 01/24/2023

NARRATIVE

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On 12/07/2022 the TRO was dismissed, due to a lack of evidence supporting that Licensee posed a risk to minors in care.

The Licensee was available for interview by Department staff and cooperated with the investigation.

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.

An exit interview was conducted with Licensee, in which this report was read to him. A copy of this report, a Notice of Site Visit (LIC 9213) and Appeal rights were issued to the Licensee.

The Licensee was advised that the Notice of Site Visit and a copy of this report must be posted at the entrance of the facility for a period of 30 days.

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) -301-3061
LICENSING EVALUATOR NAME: Laticia S Thompson	TELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2023

LIC9099 (FAS) - (06/04)

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