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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493765
Report Date: 06/15/2026
Date Signed: 06/15/2026 02:31:55 PM

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
03/18/2026 and conducted by Evaluator Brittany Lovest
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20260318084818
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:
06/15/2026
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH: Licensee,SHAHINA NASIR TIME COMPLETED:
02:30 PM
ALLEGATION(S):
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PERSONAL RIGHTS: Adult in the home handled a day care child roughly, causing injury.
INVESTIGATION FINDINGS:
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On 6/15/2026, Licensing Program Analyst (LPA) Brittany Lovest arrived at the facility for the purpose of delivering findings regarding the above mention allegation. Upon arrival, LPA met Licensee, SHAHINA NASIR and discussed the purpose of the visit. LPA toured the home both indoors and outdoors and 3 children at the facility.Present during today's visit is the Licensee, Licensees assistant/Spouse and three adult residents.

On 3/27/2026, Licensing Program Analyst (LPA) Brittany Lovest arrived at the facility for the purpose of conducting an initial 10-day complaint investigation. Upon arrival, LPA met Licensee, SHAHINA NASIR and discussed the purpose of the visit. LPA toured the home both indoors and outdoors and no children were observed in the facility. Present during inspection was Licensee, Licensee Assistant/Spouse and two adult residents.LPA requested the following documents: Children files and Facility roster. Additionally, LPA initiated staff interviews, documented observations and evidence obtained at the facility.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Brittany Lovest
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
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-20260318084818
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: NASIR FAMILY CHILD CARE
FACILITY NUMBER: 197493765
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/29/2026
Section Cited
CCR
102423(a)(1)
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102423 Personal Rights
(a) Each child ... shall have certain rights...These rights include.(1) To be treated with dignity in his/her personal relationship with staff and other persons.
This requirement is not met as evidenced by:
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Licensee and staff will review video Children's Personal Rights in Child Care video and send a answere to the following questions to the LPA's email by POC due date:

1.What is personal rights of children?
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Bases on documents received it was noted that the assistant,S2 accidentally scratched child, C1. C1 was scratched on their cheek by while S2 attempted to take a tablet away from C1. C1 received a scratch on their cheek which posed an immediate health, safety or personal rights risk to persons in care.
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2.What are two ways to ensure the personal rights of children are being upheld at the FCCH?
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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: Loyce Phillips
LICENSING EVALUATOR NAME: Brittany Lovest
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20260318084818
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: NASIR FAMILY CHILD CARE
FACILITY NUMBER: 197493765
VISIT DATE: 06/15/2026
NARRATIVE
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On 5/11/2026, Licensing Program Analyst (LPA) Brittany Lovest arrived at the facility for the purpose of conducting an Subsequent complaint investigation. Upon arrival, LPA met Licensee, SHAHINA NASIR and discussed the purpose of the visit. LPA toured the home both indoors and outdoors and. Present during inspection was Licensee, Licensee Assistant/Spouse and three adult residents. At the time of the visit licensee was providing care for one child. During visit LPA interviewed child and document observations.


As of 6/15/2026 LPA conducted a full investigation that included LPA observation, review of documentation and interviews with children and staff. Based on documents received it was noted that the assistant, S2 accidentally scratched child, C1. C1 was scratched on their cheek while S2 attempted to take a tablet away from C1. C1 received a scratch on their cheek which posed an immediate health, safety or personal rights risk to persons in care. Based on the LPA documents received review and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

LPA Lovest informed licensee, SHAHINA NASIR that this report dated 06/15/2026 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Lovest informed the licensee to provide a copy of this licensing report dated 06/15/2026 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.
Per Title 22 Regulations and Health and Safety Codes. One Type A deficiency cited during today's visit, See LIC9099D

Appeal rights were given and explained to Licensee.
Notice of Site Visit was provided and required to be posted for 30 days.
An exit interview was conducted, a copy of this report was read and provided to Licensee, SHAHINA NASIR .
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Brittany Lovest
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
LIC9099 (FAS) - (06/04)
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