304202329-9-23-2021-06-CC-PMAA-C7BQ5F-20210929115150

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304202329
Report Date: 09/02/2021
Date Signed: 09/23/2021 11:25:24 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/04/2021 and conducted by Evaluator Mila Quinto

COMPLAINT CONTROL NUMBER: 06-CC-20210804155027

FACILITY NAME:	MOSAVAT, MONIR		FACILITY NUMBER:	304202329
ADMINISTRATOR:	MOSAVAT, MONIR		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 633-4353
CITY:	ORANGE	STATE: CA	ZIP CODE:	92866
CAPACITY:	12	CENSUS:	DATE:	09/02/2021
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Monir Mosavat, Licensee		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Daycare staff touched daycare children inappropriately

INVESTIGATION FINDINGS:

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***This is an amendment version of the original report created on 9/2/21. ***

Licensing Program Analyst (LPA), Mila Quinto conducted an unannounced complaint investigation for the purpose of interviewing a staff member and to deliver the complaint finding regarding the allegation of staff touched day care children inappropriately. LPA met with licensee, Monir Mosavat. The Covid-19 Emergency Response questionnaires were asked. LPA observed a total of 10 napping children and 2 staff including the licensee.

A review of facility personnel report summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila Quinto	TELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

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 06-CC-20210804155027

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: MOSAVAT, MONIR	FACILITY NUMBER: 304202329
	VISIT DATE: 09/02/2021

NARRATIVE

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On 08/04/21, the licensing office received a complaint alleging a day care staff touched day care children inappropriately. The complaint was referred to the Investigation Branch (IB) and assigned to Investigator Licius Charlemagnu.

During the course of the investigation, IB conducted the interview with the mother, 2 children, reporting party and licensee. According to the interviews with the children, there were no disclosure of day care staff inappropriately touched the children. On 8/6/21, LPA Quinto conducted an interview with licensee who indicated no staff member touched the children inappropriately. On 9/2/21, LPA interviewed the licensee’s assistant and also stated no staff member touched the children inappropriately. On 9/23/21, LPA interviewed 5 children in care and 2 of 5 children did not disclose staff member touched children inappropriately. 3 of 5 children interviewed were non verbal and not qualified.

Based on IB investigation, and LPA’s interview with licensee and licensee’s assistant, this agency has investigated the complaint alleging a staff inappropriately touched a daycare child while in care; although the allegation may have happened or is valid, there is not enough preponderance of evidence to substantiate the personal rights of daycare staff touched daycare children inappropriately, therefore the allegation is unsubstantiated.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Licensee was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

Exit interview was conducted.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila Quinto	TELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC9099 (FAS) - (06/04)

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