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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493791
Report Date: 08/17/2022
Date Signed: 08/17/2022 03:22:29 PM

Substantiated


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
08/09/2022 and conducted by Evaluator Shandra Powell
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20220809125429
FACILITY NAME:NEDAEE & VAHID FAMILY CHILD CAREFACILITY NUMBER:
197493791
ADMINISTRATOR:NADAEE, MINA & VAHID, ALIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 461-9896
CITY:CANOGA PARKSTATE: CAZIP CODE:
91303
CAPACITY:14CENSUS: 19DATE:
08/17/2022
UNANNOUNCEDTIME BEGAN:
01:36 PM
MET WITH:Mina Nadaee, LicenseeTIME COMPLETED:
03:48 PM
ALLEGATION(S):
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Staff Ratio and Capacity: Facility is operating out of ratio
Staff Ratio and Capacity: Facility is operating out of capacity
INVESTIGATION FINDINGS:
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An unannounced 10 Day Complaint Inspection was conducted on this date by Licensing Program Analyst (LPA) Shandra Powell. LPA was greeted and let into home by licensee Mina. LPA introduced self and explained the reason for the visit. During initial 10-Day Complaint Inspection on today LPA observed 4 Infant children and 14 preschool children napping in living room and bedroom #2. Both Licensees were present in the home during the inspection. LPA took census of children in living room whom appeared to be napping and or resting. LPA also was directed to a back bedroom (#2) where census were taken of napping Infants and Children.
The total of children in attendance during initial inspection were 18. This is an immediate risk to children in care. LPA requested the four additional childrens parent/representative be called for immidiate pick up of children due to facility being out of ratio and operating out of capacity.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
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 3
Control Number 58-CC-20220809125429
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: NEDAEE & VAHID FAMILY CHILD CARE
FACILITY NUMBER: 197493791
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/17/2022
Section Cited
CCR
102416.5(d)(1)
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Staffing Ratio and Capacity:
Fourteen children, no more than 3 of whom may be infants;
The requirement is not met as evidenced by LPA observed 18 children in care. Four infants were under the age of two.
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During inspection LPA observed 4 children being picked up from facility and one being an infant. LPA requested LIcensee to complete declaration by POC 08/17/2022 and email to LPA.
Type A
08/18/2022
Section Cited
CCR
102417(7)
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Operation of Family Child Care:
An emergency information card shall be maintained for each child and shall include the child's full name...
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Licensee will provide copies of all documents for child file by email to LPA by POC 08/18/2022.
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 LPA did not observe a file for Child #1 at facility. Licensee admitted not having file for child or emergency documentation during inspection.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20220809125429
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: NEDAEE & VAHID FAMILY CHILD CARE
FACILITY NUMBER: 197493791
VISIT DATE: 08/17/2022
NARRATIVE
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 LPA explained only 3 Infants can be in care at a any time when capacity of 14 children are in attendance. LPA provided licensee with a copy of the Capacity Regulations for Family Child Care Home Capacity during inspection.

During today's visit, an interview was conducted with licensee Mina, a copy of the Child Care Facility Roster was provided to LPA during inspection. Names of children in attendance and ages were given to LPA by licensee. During the review of the Roster LPA did not observe one of the Infant children name on the roster nor did the licensee have a Child File for infant #1 nor ememergency information this is an immediate risk to children in care.

Pertaining to the allegations "Licensee is operating out of ratio and out of capacity":
Based upon licensee's own admission and LPAs observation on 08/17/2022 the preponderance of evidence standard has been met. Therefore, the allegations have been found to be Substantiated. Facility is being cited on the attached LIC 9099D.

Type A citation(s) shall be given to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224).

Exit interview was conducted with Licensee. Report and Appeal Rights provided with A Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3