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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300536
Report Date: 05/28/2025
Date Signed: 05/28/2025 12:07:09 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/22/2025 and conducted by Evaluator Hayley McCarthy
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20250522114131
FACILITY NAME:GHAHREMANI DEHBOKRI FAMILY CHILD CAREFACILITY NUMBER:
336300536
ADMINISTRATOR:GHAHREMANI DEHBOKRI, SIMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 855-9898
CITY:WINCHESTERSTATE: CAZIP CODE:
92596
CAPACITY:14CENSUS: 12DATE:
05/28/2025
UNANNOUNCEDTIME BEGAN:
11:19 AM
MET WITH:Sima Ghahremani Dehbokri, LicenseeTIME COMPLETED:
12:16 PM
ALLEGATION(S):
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Provider operating out of ratio.
INVESTIGATION FINDINGS:
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On May 28, 2025 at 08:46 am, Licensing Program Analyst (LPA), Hayley McCarthy arrived at Ghahremani Dehbokri Family Child Care to investigate a complaint of the allegation listed above. LPA met with Licensee, Sima Ghahremani Dehbokri.

On May 22, 2025, a complaint was received alleging that the provider is operating out of ratio.

Regarding the allegation that the provider was operating out of ratio, Licensee confirmed that on May 22, 2025 she had 14 children in care, none of which were school aged making her over capacity and out of ratio. Additionally, supporting documentation received from confidential witness further corroborated the allegation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Hayley McCarthy
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
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 10-CC-20250522114131
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: GHAHREMANI DEHBOKRI FAMILY CHILD CARE
FACILITY NUMBER: 336300536
VISIT DATE: 05/28/2025
NARRATIVE
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Based on interviews and record review, the preponderance of evidence standard has been met, therefore, the above allegation is SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter 1) are being cited on the attached LIC9099D.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months.

The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.

An exit interview was conducted, and this report was reviewed with and signed by the licensee, Sima Ghahremani Dehbokri. Appeal rights were discussed and provided during the exit interview.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Hayley McCarthy
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20250522114131
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: GHAHREMANI DEHBOKRI FAMILY CHILD CARE
FACILITY NUMBER: 336300536
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/28/2025
Section Cited
CCR
102416.5(d)(2)
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(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, ..., shall be either: (2) More than twelve and up to
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During the visit, licensee called two parents informing them that they could not come due to being at capacity. Licensee will disenroll two children ensuring that she is operating withing ratio and send proof to the department by 06/06/2025.
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fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met.
This requirement is not met as evidenced by: Based on interviews conducted and record reviews, the licensee did not comply with the section cited above in that Licensee had 14 children in care under 5 years old making her over capacity and out of ratio, which poses a potential health, safety or personal rights risk to persons in care.
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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: Deborah Mullen
LICENSING EVALUATOR NAME: Hayley McCarthy
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3