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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013422559
Report Date: 11/18/2025
Date Signed: 11/18/2025 11:07:48 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/10/2025 and conducted by Evaluator Catherine Fernandes
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20251010083533
FACILITY NAME:SHAFIEI, MEHDIFACILITY NUMBER:
013422559
ADMINISTRATOR:SHAFIEI, MEHDIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 922-1418
CITY:OAKLANDSTATE: CAZIP CODE:
94618
CAPACITY:14CENSUS: 12DATE:
11/18/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Mehdi ShafieiTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff spoke inappropriately to adult in the presence of children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/18/25, at 9:20AM, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced to deliver the findings to the above allegation and met with Mahta Marashi. The licensee arrived during the end of the visit due to an appointment. Present in care were three infants, and nine preschoolers with an additional four staff members. During the investigation LPA Fernandes did a walk through of the home, conducted interviews, observed the children in care and reviewed documents.

There was conflicting information regarding the above allegation. Therefore, the allegation is unsubstantiated, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview conducted with Mehdi Shafiei.
Report and Notice of site visit provided.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
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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