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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343625436
Report Date: 04/14/2025
Date Signed: 04/14/2025 11:00:01 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/28/2024 and conducted by Evaluator Michelle Perez
COMPLAINT CONTROL NUMBER: 03-CC-20241028100727
FACILITY NAME:KOHZAD, MAHNAZFACILITY NUMBER:
343625436
ADMINISTRATOR:KOHZAD, MAHNAZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 935-5414
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY:14CENSUS: 10DATE:
04/14/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Mahnaz KohzadTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Personal Rights- licensee's husband sexually abused a day care child
INVESTIGATION FINDINGS:
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On April 14, 2025, Licensing Program Analyst (LPA) arrived at approximately 10:30AM, to deliver findings. Upon arrival there were 10 children in care, with the licensee and assistant.

The complaint was initially assigned to the Investigative Bureau (IB) due to the nature of the allegation. IB worked with the Sacramento County Sheriff’s department and a detective assigned to the complaint, to conduct a full investigation. Through forensic interviews and DNA testing, no evidence was found to corroborate the allegation. The complaint was returned to the Sacramento Regional office of childcare, where the LPA overseeing the facility completed the investigation. LPA conducted interviews with children, staff, parents and the licensee and spouse nd spoke to the reporting party (RP). Through the course of the investigation, LPA also made observations and documented information.

LPA was unable to corroborate the allegation based on the information obtained.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2025
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 2
Control Number 03-CC-20241028100727
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: KOHZAD, MAHNAZ
FACILITY NUMBER: 343625436
VISIT DATE: 04/14/2025
NARRATIVE
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Although the allegation may have happened or is valid, there is a not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

This report was reviewed with licensee and spouse. A notice of site visit was provided.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2