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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343626904
Report Date: 05/27/2026
Date Signed: 05/27/2026 02:02:41 PM

Substantiated


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
05/22/2026 and conducted by Evaluator Soleil Marx
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20260522155415
FACILITY NAME:NIKBEEN, MOHAMMAD SEDEQFACILITY NUMBER:
343626904
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:6CENSUS: 1DATE:
05/27/2026
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Mohammad Sedeq NikbeenTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Licensee used inappropriate form of discipline
Licensee threatened daycare child
Uncleared adult living in the home
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marx met with Licensee, Mohammad Sedeq Nikbeen, for the purpose of conducting a complaint investigation and to deliver findings for the above allegations. Throughout the course of the investigation, LPA Marx made observations, reviewed records, and conducted interviews.

It was determined by interview that the licensee used an inappropriate form of discipline by making a child stand in an open closet for a time out and not allowing a child to use the restroom while in time out resulting in the child soiling themselves. It was furthermore determined by interview that the licensee threatened a day care child about having their legs/feet taped together as a scare tactic to prevent them from stomping during a tantrum. It was determined by observation, record review, and interview, that two uncleared adults, the licensee's daughter and the licensee's wife, live in the home without a background clearance.

Based on record review, interview, and observation the perponderance of evidence standard has been met, therefore the above allegations are found to be substantiated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
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 03-CC-20260522155415
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: NIKBEEN, MOHAMMAD SEDEQ
FACILITY NUMBER: 343626904
VISIT DATE: 05/27/2026
NARRATIVE
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Licensee was informed that this report dated 05/27/2026 documents two Type A citation which shall be posted for 30 consecutive days. The Licensee shall also provide a copy of this licensing report 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.

Exit interview conducted, report reviewed with Director, appeal rights provided. Notice of site visit given and must remain be posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 03-CC-20260522155415
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: NIKBEEN, MOHAMMAD SEDEQ
FACILITY NUMBER: 343626904
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/27/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/28/2026
Section Cited
CCR
102423(a)(4)
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Amended document(a) Each child...shall have certain rights...(4)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat.... actions of..punitive nature,..including..interference with .. toileting..

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Licensee will submit a written plan regarding appropriate methods of discipline, how to navigate challenging behavior, and how the licensee will ensure each child is accorded personal rights to LPA Marx by POC due date
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This requirement was not met as evidenced by: Based on interview, the licensee did not comply with the section cited above by using unusual punishment, threat, and interference with toileting with chid in care which poses an immediate Health, Safety, or Personal Rights risk to persons in care
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Type A
05/28/2026
Section Cited
CCR
102370(d)
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(d) All individuals subject to a criminal record review...shall prior to working, residing, or volunteering in a licensed facility:(1)Obtain a California clearance or criminal record exemption as required..
This requirement was not met as evidenced by:
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Licensee will ensure wife, Zahra Erfan and daughter, Kubra Nikbeen, are finger printed by POC due date to obtain a criminal record clearance.
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Based on observation, record review, and interview, the licensee did not comply with the section cited above by not obtaining a criminal record clearance for adult daughter and wife living in the home which poses an immediate 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: Seychelle De Luca
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2026
LIC9099 (FAS) - (06/04)
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