<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304312883
Report Date: 09/01/2026
Date Signed: 09/02/2026 08:53:01 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
08/28/2026 and conducted by Evaluator Patricia Duron
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20260828112651
FACILITY NAME:KHAMIS, NAJWA JOSEPHFACILITY NUMBER:
304312883
ADMINISTRATOR:KHAMIS, NAJWA JOSEPHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 313-5655
CITY:CYPRESSSTATE: CAZIP CODE:
90630
CAPACITY:14CENSUS: 4DATE:
09/01/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Najwa Joseph Khamis TIME COMPLETED:
12:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee does not ensure that prior to admission, children are immunized against diseases
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/01/2026, Licensing Program Analyst (LPA) Duron conducted an unannounced complaint visit. LPA met with licensee, Najwa Joseph Khamis and informed licensee of the purpose of the visit. The Licensee led LPA on a tour of the facility and census was taken. The overall census observed was 4 children which included 2 infants with 2 preschool children with Licensee.
A review of the Facility Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within facility's licensed capacity and within compliance of staffing ratios.
On 08/28/2026, the Orange County Child Care Office received a complaint alleging: Licensee does not ensure that prior to admission, children are immunized against diseases.
During the investigation at the Family Child Care Home (FCCH), LPA reviewed enrolled children’s files.

Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
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 06-CC-20260828112651
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KHAMIS, NAJWA JOSEPH
FACILITY NUMBER: 304312883
VISIT DATE: 09/01/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA reviewed 12 children files. LPA observed 1 out of 12 children files did not meet immunization regulations. LPA observed Child #1 (C1) file was not in compliance and did not have immunization records in their file.

LPA interviewed licensee during investigation. Licensee stated C1 was in the process of receiving
immunizations but did not have immunization records in their file.

During the time of the visit on 9/1/2026 at approximately 9:35am, C1 was picked up by Adult #1 (A1). A1 was informed that C1 was unable to return until immunization records were provided to licensee. A1 stated they will not have child attend Family Child Care Home until C1 had immunization records.

Based on LPA’s record review and interviews, the preponderance of evidence standard has been met, therefore the above allegations have been found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 section 102418(a) immunization records 9099D:This requirement is met as evidence by: Based on interviews and record review. LPA reviewed C1’s file and observed C1 file was not in compliance and did not have immunization records in their file which poses a potential health and safety risk to the children in care.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Najwa Joseph Khamis.

Page 1 of 2. End of Report.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20260828112651
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KHAMIS, NAJWA JOSEPH
FACILITY NUMBER: 304312883
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/01/2026
Section Cited
CCR
102418(a)
1
2
3
4
5
6
7
102418(a) Immunizations, Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.
This requirement is met as evidence by:
1
2
3
4
5
6
7
On 9/1/26 while conducting initial investigation. Licensee called A1 to pick up C1. C1 was picked up during the time of visit. Licensee informed A1 that C1 was unable to return until A1 provided immunization records for C1. LPA provided 102418 (a) Immunization regulation to licensee.
8
9
10
11
12
13
14
Based on interviews and record review. LPA reviewed C1’s file and observed C1 file was not in compliance and did not have immunization records in their file which poses a potential health and safety risk to the children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Martha Malane
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3