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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418755
Report Date: 06/12/2025
Date Signed: 06/13/2025 07:53:21 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/01/2025 and conducted by Evaluator Judy Laureano
COMPLAINT CONTROL NUMBER: 30-CC-20250401084742
FACILITY NAME:KIUMEHR FAMILY CHILD CAREFACILITY NUMBER:
197418755
ADMINISTRATOR:KIUMEHR, FLORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 869-9975
CITY:LOS ANGELESSTATE: CAZIP CODE:
90025
CAPACITY:12CENSUS: 7DATE:
06/12/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Flora KiumehrTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Personal Rights: Child sustained unexplained injuries in care
Reporting Requirements: Licensee did not report injuries by day care child to parent


INVESTIGATION FINDINGS:
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On 6/12/2025 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose of delivering findings. LPA was greeted by Flora Kiumehr who lead LPA on a toured of the home. LPA observe 7 children with licensee and one staff providing care and supervision.

On 04/07/2025 Licensing Program Analysts (LPA) Judy Laureano and Chartrice Johnson arrived at above mentioned facility for the purpose of investigating the above-mentioned allegations. LPAS were greeted by Flor Kiumehr who lead LPAs on a toured of the home. At approximately 10:01 a.m. Assistant arrived at facility. LPAs observed 6 children in care.

LPA requested and reviewed copies of children’s file and staff files. Licensee agrees to submit via email any document not available during the time of the inspection. On 4/7/2025 LPAs initiated investigative interviews.

On 6/12/2025 LPA Laureano completed all necessary interviews.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 30-CC-20250401084742
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: KIUMEHR FAMILY CHILD CARE
FACILITY NUMBER: 197418755
VISIT DATE: 06/12/2025
NARRATIVE
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Based on observation, document review and interviews completed no information was disclosed that licensee violated children’s Personal Rights and/or that Licensee did not report injuries by day care child to parent. The above allegations have been determined Unsubstantiated A finding that the complaint is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted with Flor Kiumehr.

A copy of the report was provided, and Notice of Site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate Civil Penalty for $100.00.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2