364813206-10-26-2021-12-CC-CBEL-C88NNE-20211028103635

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364813206
Report Date: 10/13/2021
Date Signed: 10/26/2021 10:50:42 AM

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
08/31/2021 and conducted by Evaluator Donna Maddox

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20210831135442

FACILITY NAME:	ALSAYEGH FAMILY CHILD CARE		FACILITY NUMBER:	364813206
ADMINISTRATOR:	ALSAYEGH, YASMEEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 475-8326
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92404
CAPACITY:	14	CENSUS: 3	DATE:	10/13/2021
		UNANNOUNCED	TIME BEGAN:	01:11 PM
MET WITH:	Licensee, Yasmeen Alsayegh		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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Personal Rights

INVESTIGATION FINDINGS:

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LPA Maddox met with licensee, Yasmeen Alsayegh today for the purpose of finalizing the above complaint allegation. Prior to concluding this complaint investigation, LPA interviewed Licensee, alleged victim, parent, complainant, and day care children.

Based on interviews conducted , there is not enough evidence or witnesses to substantiate the allegation of Personal Rights, therefore, the allegation is rendered Unsubstantiated at this time. 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.

An exit interview was conducted and a copy of this report was read and provided to the Licensee on this date.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021

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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