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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018535
Report Date: 06/15/2021
Date Signed: 06/16/2021 09:34:43 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/14/2021 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210414111854
FACILITY NAME:DAUD FAMILY CHILD CAREFACILITY NUMBER:
198018535
ADMINISTRATOR:SURAIYA DAUDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(206) 794-8878
CITY:LA CRESCENTASTATE: CAZIP CODE:
91214
CAPACITY:14CENSUS: 6DATE:
06/15/2021
UNANNOUNCEDTIME BEGAN:
11:11 AM
MET WITH:Suraiya DaudTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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9
Allegation: Lack of Supervision; Licensee is not properly supervising children in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ortega conducted an inspection for the purpose of delivering the findings related to the complaint investigation allegation above. LPA met with licensee, Suraiya Daud and informed the licensee of the purpose for the inspection. A census of the children was taken. The complaint investigation consisted of the interviews with Staff, children, parents and video footage.
The investigation revealed that during a nature walk children were exploring on a City's stationary property machinery(caterpillar backhoe). Licensee stated there may have been one child that might have climbed on the other side of the Caterpiller backhoe but came down as soon as instructed. Observation of the video footage, revealed licensee standing in close proximity at an angle supervising the children and taking pictures of the children while on the caterpillar backhoe bucket. Children were not injured and interviews did not revealed any improper supervision. Facility operates as a Reggio philosophy science base program ciriculm. Licensee has verbal parent consent and has agreed to retain parent consent acknowledgements in each child's file. Therefore, based on the observations and interviews, this allegation is deemed 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 allegation occurred. No citation will be issued. Report was discussed and appeal right provided to licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2021
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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