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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 07:56:42 AM

Substantiated


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:
08:45 AM
MET WITH:Flora Kiumehr TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Criminal Record: Licensee allowed uncleared staff to work at the day care
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.

At approximately 9:45 a.m. LPA walked in the back yard and observed one adult supervising 7 children playing in the back yard. Licensee was inside the home and came out to greet LPA Laureano.

Based on record review and interview of adult 1 (A1) licensee allowed an uncleared staff to work during the hours of operation and while children are present at the day care.The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Please see 9099D for referecence and civil penalty has been assessed.

LPA Laureano informed Licensee Flora Kiumehr that this report dated 6/12/2025 documents 1 Type A citations which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
Substantiated
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 3
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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Also, LPA Judy Laureano informed facility representative to provide a copy of this licensing report dated 6/12/2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Upon on receipt of this report, the facility director shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Licensee Flora Kiuhmer. Copy of this report with copy of Appeal Rights were provided and left with Licensee, whose signature on this form confirm receipt of these documents.
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: 3 of 3
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/12/2025
Section Cited
CCR
101170(e)(1)
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101170 Criminal Record Clearance
(e) All individuals subject to a criminal record review ...(1) Obtain a California clearance or a criminal record exemption as required by the Department ...
This requirement has not been met as evidenced by.
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Licensee agrees to submit proof of livescan receipt if adult 1 will be present during the hours of operations or a revised schedule of when A1 will be present at facilty.
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Per records review and interview, adult 1 (A1) has been working at the facility for a little over a year and occassionaly provides care and supervision to children in care which poses an immediate health and safety risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
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 appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3