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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020553
Report Date: 11/04/2021
Date Signed: 11/04/2021 11:18:52 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/03/2021 and conducted by Evaluator Cynthia Reyes
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210803112314
FACILITY NAME:SHOKRY & IBRAHIM FAMILY CHILD CAREFACILITY NUMBER:
198020553
ADMINISTRATOR:M.SHOKRY & A.IBRAHIMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 784-8421
CITY:GLENDORASTATE: CAZIP CODE:
91740
CAPACITY:14CENSUS: 4DATE:
11/04/2021
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Awny Ibrahim & Mariam ShokryTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Personal Rights-Children engaged in inappropriate interactions while in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Cynthia Reyes conducted an unannounced follow up site inspection to present the findings of the complaint allegation listed above. LPA met with licensee Mariam, who guided the LPA on a tour of the facility. Due to COVID-19, precautionary measures were taken by the LPA and all individuals present during the entire inspection. All individuals wore appropriate personal protective equipment. LPA observed 4 Infant/Toddlers in care with Co-Licensee Awny Ibrahim while licensee Mariam was preparing breakfast for the children.

During the course of the investigation, LPA conducted interviews with licensees, children and witnesses, reviewed and received records. Based on the available information and the LPAs own observations, and although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
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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Control Number 33-CC-20210803112314
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: SHOKRY & IBRAHIM FAMILY CHILD CARE
FACILITY NUMBER: 198020553
VISIT DATE: 11/04/2021
NARRATIVE
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Allegation states that children's Personal rights (Children engaged in inappropriate interactions while in care) were violated while in care. During the course of the investigation, interviews were conducted with the licensees who stated the children have never been left unattended at all and the two children who were alleged to have had inappropriate interactions never slept next to each other at all and the alleged date of the incident, the two children were not in care together on that date. LPA observed the space where the children nap and it is an open space with short half walls, which the inside of the room is visible from all the areas around the room which are the kitchen, living room and back yard. There is a glass sliding door that leads to the back yard from the napping room. (Photos taken) Interview was conducted with child #2 who is not very verbal but did understand what a kiss was and stated he only gets kisses from his mom. The child showed the LPA where he gets kisses and pointed to his lips and cheeks on his face. Interview conducted with child #2 by the local police department was not successful as the child is not very verbal and the child could not comprehend what was asked to him by the police. No police report was created. Interviews of children also validated what was said regarding the children sleep on separate sides of the room and they did not always use blankets. It was stated that they some times play doctor and house and when they play doctor they give shorts on the arm. Licensee stated children play doctor with the dolls and do not use the play doctor toys on each other. It was stated that child #7 was consistent with her story about inappropriate interactions in the day care, however the child had several issues with inappropriate interactions at home as well and it was undetermined where those actions came from. Based upon interviews conducted, it is unclear whether child #2 and child #7 touched each other on their private area or elsewhere.

This agency has investigated the complaint alleging that there was a violation of "Responsibility for Providing Care and Supervision" and "Personal Rights." The complaint alleged that "Children engaged in inappropriate interactions while in care". The allegation has been determined to be Unsubstantiated.


An exit interview was conducted with Awny Ibrahim & Mariam Shokry. Appeal rights were explained and provided. The Notice of Site Visit was issued and must be posted for 30 days failure to do so will result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2