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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493765
Report Date: 04/24/2024
Date Signed: 04/24/2024 04:51:53 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 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
02/09/2024 and conducted by Evaluator Loyce Phillips
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20240209091434
FACILITY NAME:NASIR FAMILY CHILD CAREFACILITY NUMBER:
197493765
ADMINISTRATOR:NASIR, SHAHINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 456-4080
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:14CENSUS: 3DATE:
04/24/2024
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:SHAHINA NASIR, LICENSEETIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Allegation: Personal Rights - Licensee did not provide adequate transportation for the day-care children.
INVESTIGATION FINDINGS:
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On 4/24/2024, Licensing Program Analyst (LPA), Loyce Phillips, conducted an unannounced visit for the purpose of delivering the findings on the above allegation. LPA was greeted by Licensee Shahina Nasir and toured the facility. LPA observed 3 children in care with 1 staff.

LPA conducted a full investigation that included obtaining documentation, interviewing staff, parents and children and documenting observations. During children’s interviews, children stated staff has arrived late to their school during pick-ups. Children also stated they do not like when staff arrives late. LPA interviewed random parents. P4 expressed their child has been dropped off and picked up late once or twice at school. During staff interviews, S1 stated sometimes children are picked up 5 to 10 minutes late, but they let parents know that the facility staff will be running late. On 2/7/2024 parent of C1 and S1 had agreed C1 would be picked up at 2:00pm on 2/8/2024. S2 stated C1 was picked up at 2:30pm, instead of 2:00pm, due to miscommunication. C1 was not left unattended at school, but however was not picked-up on the agreed upon time between Licensee and parent leaving the child in a possible unsafe manner.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
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-20240209091434
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: NASIR FAMILY CHILD CARE
FACILITY NUMBER: 197493765
VISIT DATE: 04/24/2024
NARRATIVE
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Therefore, the allegation that Licensee did not provide adequate transportation for the daycare children is deemed substantiated. A Substantiated finding means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiency is cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety Codes.

An exit interview was conducted, a copy of this report, appeals rights and a notice of site visit were discussed and provided to Licensee, Shahina Nasir.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20240209091434
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NASIR FAMILY CHILD CARE
FACILITY NUMBER: 197493765
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/03/2024
Section Cited
CCR
102423(a)(2)
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102423(a)(2) Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged... (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by:
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Licensee will watch the video on Transporting Children and develop a written statement of understanding. Licensee will also create an agreement with parents on pick-up and drop times/dates and adhere to the written agreement.
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Based on S1 interview statement children are picked up 5 to 10 minutes late sometimes. S2 stated C1 was picked up at 2:30pm, instead of 2:00pm on 2/8/2024. C1 was not left unattended at school, but not picked-up at the agreed upon time which poses a potential health, safety or personal rights risk to persons in care, if not corrected.
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Licensee will submit documentation to LPA by POC date of 5/3/2024.
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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: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3