197493782-9-1-2023-58-CC-MNEL-CV9TSW-20230901145948

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197493782
Report Date: 08/31/2023
Date Signed: 09/01/2023 12:23:43 PM

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
06/05/2023 and conducted by Evaluator Dalicia Adkins

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20230605143038

FACILITY NAME:	JAHANDIDEH FAMILY CHILD CARE		FACILITY NUMBER:	197493782
ADMINISTRATOR:	MASOUMEH PIR JAHANDIDEH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 625-2320
CITY:	WEST HILLS	STATE: CA	ZIP CODE:	91307
CAPACITY:	14	CENSUS: 1	DATE:	08/31/2023
		ANNOUNCED	TIME BEGAN:	07:00 AM
MET WITH:	Licensee Masoumeh Pir Jahandideh		TIME COMPLETED:	08:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights-Licensee didn't prevent day care child from hitting another day care child
Personal Rights-Licensee left day care child in soiled clothing for an extended period of time.
Personal Rights-Licensee is not allowing day care children's parents into the facility
Personal Rights-Licensee screamed at day care child

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 8/31/2023 Licensing Program Analyst (LPA) Dalicia Adkins conducted a facetime complaint tele- visit and met with licensee Masoumeh Pir Jahandideh. LPA explained the purpose of the tele-visit was was guided on a virtual tour. LPA observed one child present during the tele-visit.

The purpose of today’s visit 8/31/2023 visit is to deliver findings of the above-mentioned allegations. On the initial visit on 6/12/23 LPA interviewed licensee, childcare assistants, and children. LPA collected and reviewed the children's roster. On 8/30/23 LPA attempted to conduct a subsequent complaint visit, center was closed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 58-CC-20230605143038

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: JAHANDIDEH FAMILY CHILD CARE	FACILITY NUMBER: 197493782
	VISIT DATE: 08/31/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During pertinent interviews no information regarding the allegations referencing licensee didn't prevent day care child from hitting another day care child, licensee left day care child in soiled clothing for an extended period, licensee is not allowing day care children's parents into the facility or licensee screamed at day care child. Based on information collected and observations, interviews, and supportive records no information revealed to approve or disapprove a violation occurred. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the above allegations did or did not occur, therefore the allegations as mentioned are unsubstantiated.

No citations given during today’s 8/31/23 visit. This report reviewed with licensee Masoumeh Pir Jahandideh and copy given sent via email. Notice of site visit given and must be posted for 30 days. Exit interview conducted.

This report emailed to licensee Masoumeh Pir Jahandideh on 8/31/2023. Electronic email signature will be used in lieu of facility preventative signature section of this report.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2