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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494350
Report Date: 01/04/2024
Date Signed: 01/04/2024 03:14:00 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
08/21/2023 and conducted by Evaluator Joe Katrdzhyan
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20230821131114
FACILITY NAME:BEGUM FAMILY CHILD CAREFACILITY NUMBER:
197494350
ADMINISTRATOR:BEGUM, IMTIAZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 747-0787
CITY:BURBANKSTATE: CAZIP CODE:
91505
CAPACITY:14CENSUS: 6DATE:
01/04/2024
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Staff / Hajra Abbasi
Licensee / Imtiaz Begum		TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Care provider did not adequately supervise day care children resulting in child getting bit several times by another child.

Care provider did not ensure that day care child did not have access to a broken toy resulting in child sustaining an injury.

Care provider did not report incidents to day care child's parents.
INVESTIGATION FINDINGS:
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On 1/4/2024, at 8AM, Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced visit to this facility to deliver findings on the above-mentioned allegations. Upon arrival, LPA met with Staff / Hajra Abbasi, who guided LPA on a tour of the facility. There were 6 children with 1 staff observed upon arrival. LPA explained the purpose of today’s visit. Licensee / Imtiaz Begum joined the visit a short time after.

The investigation regarding the above mentioned allegations was conducted by LPA / Maria Rendon. During the course of the investigation, interviews were conducted, pictures obtained and a copy of the Children’s /Staff Roster was obtained and reviewed.

Per Reporting Party, Care provider did not adequately supervise day care children resulting in Child 1 getting bit several times by another child. Care provider did not ensure that Child 1 did not have access to a broken toy resulting in Child 1 sustaining an injury. Care Provider did not report incident to Child 1's parents.
(Please see LIC 9099C for additional information)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024
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 4
Control Number 58-CC-20230821131114
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: BEGUM FAMILY CHILD CARE
FACILITY NUMBER: 197494350
VISIT DATE: 01/04/2024
NARRATIVE
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Pg. 2
During the interview with the Licensee, the Licensee stated that she was present during two of the incidents involving Child 1 sustaining bite marks from another child. The Licensee could not remember much of the details regarding the incidents other than stating one of the bite marks happened on the arm and the other on the leg of Child 1, during two separate occasions. The Licensee learned of the other two incidents from staff.

During the interview of staff, it was disclosed that Child 1 sustained 4 bite marks while under the care of Begum Family Child Care. Three of the bite marks resulted in Child 2 biting Child 1 during three separate occasions and the fourth incident involved Child 3 biting Child 1. The initial incident happened on 6/12/23 and the second incident happened on 6/28/23. Both incidents involved Child 2 biting Child 1 during a disagreement. The third incident happened on 8/1/23, as Child 3 was observed biting Child 1 during a disagreement. According to staff, during all three incidents staff were present but were unable to intervene as the incidents happened very fast. The fourth incident happened on 8/2/23, and again involved Child 2 biting Child 1, but nor staff or the Licensee had knowledge of the incident until it was brought to their attention by the mother of Child 1. After reviewing video surveillance, facility staff confirmed that the fourth incident also happened at the day care but staff did not witness the incident because they were busy assisting other children at the time. On 6/28/23, Child 1 also sustained a cut to the finger from playing with a broken toy. Based on the investigation conducted, there is sufficient evidence found to support the above-mentioned allegations to be true.

Based on LPA’s observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.



A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of
the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.
The Notice of Site Visit was provided and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Imtiaz Begum and Appeals Rights provided.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 58-CC-20230821131114
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: BEGUM FAMILY CHILD CARE
FACILITY NUMBER: 197494350
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/05/2024
Section Cited
CCR
102423(a)(2)
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Personal Rights. Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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The Licensee will conduct an in-service training with all staff on the importance of ensuring compliance within this section. Copies of the training along with signatures of all attendees will be submitted to CCL by the POC due date of 1/5/24.
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To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: During the interview of staff, it was disclosed that Child 1 sustained 4 bite marks while under the care of Begum Family Child Care. This poses an immediate health, safety, and personal rights to children in care.
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Type B
01/19/2024
Section Cited
CCR
102416.2(f)(1)
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Reporting Requirements. As soon as possible but no later then the same business day, the licensee shall notify a child's parent or authorized representative regardless of the injuries or acts that affect that child as specified in Health and Safety Code Section 1597.467(a).
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The Director will conduct an in-service training
with all staff on the importance of ensuring
compliance within this section. Copies of the
training along with signatures of all attendees
will be submitted to CCL by the POC due date
of 1/19/24.
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Any injury suffered by a child in care shall be reported to that child's parent or authorized representative regardless of treatment by a medical professional. This requirement is not met as evidenced by: On 8/2/23, Child 2 bit Child 1 on the chest, but nor staff or the Licensee had knowledge of the incident until it was brought to their attention by the mother of Child 1. After reviewing video surveillance, facility staff confirmed that the incident happened at the day care but staff did not witness the incident because they were busy assisting other children at the time. This poses a potential health, safety, and personal rights to children in care.
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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: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 58-CC-20230821131114
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: BEGUM FAMILY CHILD CARE
FACILITY NUMBER: 197494350
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/19/2024
Section Cited
CCR
102423(a)(2)
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Personal Rights. Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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Licensee will review Title 22 Regulations Section 102423 on Personal Rights and develop a written Plan of Correction (POC) to ensure compliance. Written POC must be submitted to CCL by the POC due date.
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To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: On 6/28/23, Child 1 also sustained a cut to the finger from playing with a broken toy. This poses a potential health, safety, and personal rights to children in care.
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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: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4