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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376100328
Report Date: 02/02/2022
Date Signed: 02/02/2022 09:11:45 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/10/2022 and conducted by Evaluator Nancy Diaz
COMPLAINT CONTROL NUMBER: 51-CC-20220110093308
FACILITY NAME:AHMED, ASHARUN FAMILY CHILD CAREFACILITY NUMBER:
376100328
ADMINISTRATOR:ASHARUN AHMEDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 788-6697
CITY:SAN DIEGOSTATE: CAZIP CODE:
92123
CAPACITY:14CENSUS: 0DATE:
02/02/2022
UNANNOUNCEDTIME BEGAN:
08:39 AM
MET WITH:Asharun AhmedTIME COMPLETED:
09:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is not present for a significant amount of time in the home.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/02/2022 at 8:39AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection to deliver the findings to the above allegation. Initial inspection was conducted on 1/12/22 via Zoom meeting. LPA met with Mrs. Asharun Ahmed. There were no children observed today. Mrs. Ahmed stated that she only provide care on the weekends. LPA toured the home and discussed the above allegation with Mrs. Ahmed. It was alleged that Mrs. Ahmed is not present for a significant amount of time in the home. Information were obtained from outside agencies. Mrs. Ahmed also provided a document to show that she was gone for a period of one month in 2021. The information obtained is not sufficient to prove or disprove the allegation. Therefore, this allegation is determined to be 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 violation occurred. No deficiences are cited.
Exit interview was conducted with Mrs. Ahmed, appeal rights (1/16) were discussed and provided. Notice of Site Visit was posted and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022
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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