304312883-10-10-2024-06-CC-THOO-DA2NX7-20241014105039

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304312883
Report Date: 10/10/2024
Date Signed: 10/10/2024 10:50:12 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/10/2024 and conducted by Evaluator Patricia Duron

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20240810222057

FACILITY NAME:	KHAMIS, NAJWA JOSEPH		FACILITY NUMBER:	304312883
ADMINISTRATOR:	KHAMIS, NAJWA JOSEPH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 313-5655
CITY:	CYPRESS	STATE: CA	ZIP CODE:	90630
CAPACITY:	14	CENSUS: 5	DATE:	10/10/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Khamis, Najwa Joseph Licensee		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Licensee yells at children in care
Licensee restrains children while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced complaint visit to deliver the complaint findings. This is a continuation of the investigation initiated on 8/14/24. LPA met with Licensee, Najwa Khamis and informed the licensee of the purpose of the visit. The director guided LPA on a tour of the facility and a census was taken. The overall census observed was 2 staff members with 5 children, which included 4 preschool children and 1 infant.
A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 8/10/14 a complaint was filed with the Licensing office alleging (1) Licensee yells at children in care. (2) Licensee restrains children while in care. Reporting Party (RP) stated that the licensee yells and belittles the children. RP stated that children are left in the highchairs crying and left in the playpen on their backs crying.
During the course of investigation, LPA interviewed 2 staff members, 3 children and 4 parents, and reviewed records. Page 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20240810222057

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KHAMIS, NAJWA JOSEPH	FACILITY NUMBER: 304312883
	VISIT DATE: 10/10/2024

NARRATIVE

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Regarding allegations (1) Licensee yells at children in care

LPA interviewed 2 staff members, 2 out of 2 denied witnessing any staff yelling at children in care. Staff #1 (S1) stated, sometimes staff members have to use firm voice if the children were doing something that can injure another child.

Regarding allegations (2) Licensee restrains children while in care

LPA interviewed 2 staff members, 2 out of 2 staff denied witnessing any staff restraining children while in care. S1 stated the following: Highchairs are only used when children are eating. Playpens are used when a child is sleeping usually for 2 or 3 hours. Staff will get child out of playpen when child is crying and change them or feed them. S2 stated, highchairs are used when a child is going to eat lunch or eat a snack. Playpens are used for sleeping, and staff will pick up child from play pen, change their diaper, give them a snack or have them play with the toys.

LPA Duron interviewed 3 children. All 3 interviewed children did not reveal any staff violating their rights.
LPA Duron interviewed 4 parents. All interviewed parents stated they did not have any concern with facility.

Based on the information gathered from LPAs’ interviews, observation, and them reviewing of records, there are insufficient evidence to corroborate the allegations: Licensee yells at children in care and Licensee restrains children while in care. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations did or did not occur in the day care facility, therefore
the allegations are UNSUBSTANTIATED.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were provided. The facility representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days.

The facility representative was informed that the “Notice of Site Visit” must be posted for
30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice
of Site Visit” must be posted on or adjacent to the door. Page 2 of 2.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024

LIC9099 (FAS) - (06/04)

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