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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376626506
Report Date: 02/29/2024
Date Signed: 02/29/2024 09:02:35 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 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
01/30/2024 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20240130092817
FACILITY NAME:MASSOUDI, MAHTAB FAMILY CHILD CAREFACILITY NUMBER:
376626506
ADMINISTRATOR:MAHTAB MASSOUDIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 705-7577
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY:14CENSUS: 5DATE:
02/29/2024
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Mahtab MassoudiTIME COMPLETED:
09:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee used inappropriate form of discipline.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 2/29/24 at 8:00am, Licensing Program Analyst (LPA) Annette Sutherland made an unannounced visit for the complaint received on 1/30/24 for the purpose of delivering findings on the above referenced allegation. LPA met with Licensee Mahtab Massoudi and Licensee’s husband Kourosh Abram. Also present in the home were 5-day care children. During the visit LPA toured the facility.
Throughout the course of the investigation, interviews were conducted with the licensee and several day care parents. Licensee denied that she uses water spray bottles as a form of discipline and there was no corroborating evidence discovered. Based on the information it is determined that the allegation is Unsubstantiated. 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 deficiencies are cited.
Exit interview conducted and report was reviewed with the Licensee Mahtab Massoudi. A notice of site visit was given and must remain posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024
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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