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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274418057
Report Date: 05/18/2026
Date Signed: 06/30/2026 04:02:52 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/06/2026 and conducted by Evaluator Darnella Barnes
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20260506090710
FACILITY NAME:MIKUL, MARIAMFACILITY NUMBER:
274418057
ADMINISTRATOR:MARIAM MIKULFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(971) 246-7141
CITY:MARINASTATE: CAZIP CODE:
93933
CAPACITY:14CENSUS: DATE:
05/18/2026
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Miriam MikulTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Provider did not provide a safe sleep environment
Provider did not provide safe use of the high chair
INVESTIGATION FINDINGS:
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On May 18, 2026, Licensing Program Analyst (LPA) Darnella Barnes made unannounced complaint visit to deliver the investigation findings regarding allegations that the provider did not provide a safe sleep environment and did not provide safe use of the highchair. The licensee was not present at the facility. LPA contacted the licensee, who stated she was out of state, provided no time commitment for her return, and authorized her facility representative to accept the findings. The licensee’s representative, Fariah Schaghasi, was informed of the purpose of the visit and granted access to the facility.
The licensee, Mariam Mikul, was placed on a telephone call and included in the discussion. LPA toured the interior and exterior of the facility. No children were present during the visit.

UNSAFE SLEEP ENVIRONMENT
It was alleged that the provider did not provide a safe sleep environment. Evidence observed, reviewed, and obtained, and interviews conducted during the investigation indicated that cribs contained loose
-----CONTINUED NEXT PAGE_____


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
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 5
Control Number 07-CC-20260506090710
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MIKUL, MARIAM
FACILITY NUMBER: 274418057
VISIT DATE: 05/18/2026
NARRATIVE
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items, objects hanging above or attached to crib sides, and a 3-month-old infant was sleeping with its head covered and positioned on its side, without a medical exemption from a licensed physician.

UNSAFE USE OF HIGHCHAIR

It was alleged that the provider did not provide safe use of the highchair. Evidence observed, reviewed, and obtained, and interviews conducted during the investigation indicated that a 3-month-old infant was sleeping in a highchair.

Based on LPAs observations, record reviews, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

LPA provided the licensee with the Family Child Care Home information packet. LPA reviewed Title 22 regulations Section 102423 Personal Rights and Section 102425 Safe Sleep, related to the areas of deficiency with the licensee while she was on the telephone.

LPA Darnella Barnes informed licensee Miriam Mikul that this report dated 5/18/26 document two Type A citations which shall be posted for 30 consecutive days as there are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Darnella Barnes informed the licensee Miriam Mikul and representative to provide a copy of this licensing report dated May 18, 2026 that documents any Type A citation(s) 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.

A notice of site visit was given and must remain posted for 30 days. Appeals rights provided.

Exit interview conducted and report was reviewed with the Licensee, Miriam Mikul

---END OF REPORT ----

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20260506090710
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: MIKUL, MARIAM
FACILITY NUMBER: 274418057
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/19/2026
Section Cited
CCR
102425(b)(3)
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INFANT SAFE SLEEP Section Cited 102425(b) Cribs or play yard shall be free from all loose articles and objects…(3)... no object hanging above or attached to the side of the crib .
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LIC9224 A Signed Acknowledgement of Receipt of Licensing Report is required

Licensee state that she will review all safe sleep regulations 102425 , operation of a family child care home 102417, safe sleep questions and answers and 12423 Personal Rights
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This requirement was not met as evidenced by: Based on interviews conducted and photos obtained, child (C1) was observed with loose articles in the crib while sleeping.. Additionally, a toy was hanging above the crib. This poses an immediate risk to the health and safety of C1
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Licensee shall provide a written preventive plan, by the due date, to be delivered to the LPA, outlining the steps she will take to ensure this does not occur in the future.
Type A
05/19/2026
Section Cited
CCR
102423(a)(2)
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PERSONAL RIGHTS 102423(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from child’s authorized representative. These rights include...but not limited to... (2) To receive safe, healthful , and comfortable accommodations, furnishings and equipment.
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LIC9224 A Signed Acknowledgement of Receipt of Licensing Report is required
Licensee state that she will submit a written plan to ensure that she adheres to the manufacturer’s instructions at all times
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This requirement was not met as evidenced by: Based on observations, interviews, and evidence received provider used high chair for 3month old infant to sleep. This poses an immediate risk to the Health, Safety or Personal Rights to children in care.
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Licensee shall provide a written preventive plan, by the due date, to be delivered to the LPA, outlining the steps she will take to ensure this does not occur in the future.
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: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/06/2026 and conducted by Evaluator Darnella Barnes
COMPLAINT CONTROL NUMBER: 07-CC-20260506090710

FACILITY NAME:MIKUL, MARIAMFACILITY NUMBER:
274418057
ADMINISTRATOR:MARIAM MIKULFACILITY TYPE:
810
ADDRESS:309 COSTA DEL MAR ROADTELEPHONE:
(971) 246-7141
CITY:MARINASTATE: CAZIP CODE:
93933
CAPACITY:14CENSUS: 0DATE:
05/18/2026
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Fariah SchaghasiTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Provider tied child's legs with bed sheet
Child was left crying for a long period of time
INVESTIGATION FINDINGS:
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On May 18, 2026, Licensing Program Analyst (LPA) Darnella Barnes made an attempted unannounced complaint visit to deliver the investigation findings regarding provider tied child's legs with bed sheet and child was left crying for a long period of time. The licensee was not present at the facility. LPA contacted the licensee, who stated she was out of state, provided no time commitment for her return, and authorized her facility representative to accept the findings. The licensee’s representative, Fariah Schaghasi, was informed of the purpose of the visit and granted access to the facility. The licensee, Mariam Mikul, was placed on a telephone call and included in the discussion. LPA toured the interior and exterior of the facility. No children were present during the visit.

Based on the evidence gathered throughout the investigation, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 07-CC-20260506090710
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MIKUL, MARIAM
FACILITY NUMBER: 274418057
VISIT DATE: 05/18/2026
NARRATIVE
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No deficiencies were cited during the inspection.

Notice of Site Visit was issued and was required to remain posted for 30 days.

Appeal rights were provided.

An exit interview was conducted, and the report was reviewed with Licensee Representative Fariah Schaghasi.


----END OF REPORT -
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5