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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376100351
Report Date: 11/03/2021
Date Signed: 11/03/2021 12:54:06 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/10/2021 and conducted by Evaluator Jennifer Lott
COMPLAINT CONTROL NUMBER: 51-CC-20210910112048
FACILITY NAME:HAMDARD, MAMOONA FAMILY CHILD CAREFACILITY NUMBER:
376100351
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:0CENSUS: 0DATE:
11/03/2021
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Licensee, Mamoona Hamdard TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Facility was operating over capacity
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer Lott conducted a complaint investigation visit to deliver findings for the above allegation. LPA was greeted at the front door by Licensee Mamoona Hamdard and was granted entry after identifying herself and disclosing the reason for her visit. Licensee’s husband, Mohammad Hamdard provided translating services as their primary language is Pashto.

The Department’s investigation consisted of review of facility and outside source records, interviews with the licensee and outside sources. It is alleged that during the month of July 2021, licensee was operating over their licensed capacity. The daycare is licensed for a capacity of fourteen (14) children. Outside source records revealed that on the following dates from approximately 3:30pm to 6:30pm, staff cared for sixteen (16) to twenty (20) day care children at one time: 07/01/2021, 07/07/2021, 07/08/2021, 07/12/2021, 07/14/2021, 07/19/2021, 07/21/2021, 07/26/2021, and 07/29/2021.


Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
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 51-CC-20210910112048
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: HAMDARD, MAMOONA FAMILY CHILD CARE
FACILITY NUMBER: 376100351
VISIT DATE: 11/03/2021
NARRATIVE
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During the month of July 2021, between the approximate hours of 3:30pm to 6:30pm, staff exceeded the licensed maximum capacity on nine (9) separate occasions by providing care to sixteen (16) to twenty (20) day care children at one time. The licensee has acknowledged being over capacity.

Based on the licensee’s admission, interviews and review of supportive documentation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited per California Code of Regulations, Title 22, Division 6 on the attached 9099D. An exit interview was conducted and report was reviewed with the licensee, Mamoona Hamdard. A notice of site visit was given and must remain posted for 30 days.

Upon receipt, the 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 during the next 12 months. The Licensee shall also have parents complete and sign the Acknowledgement of Receipt of Licensing Report LIC 9224 (08/08). These signed forms will be made available to the Department upon request. LPA provided Licensee with twenty (20) blank (LIC 9224) forms.

The Notice of Site Visit (LIC 9213 was provided to Licensee, Hamdard which is to be posted at the facility for 30 days. LPA observed form LIC 9213 posted.

An exit interview was conducted with Licensee, Mamoona Hamdard. Appeal and licensee rights (LIC 9098 01/16) along with a copy of this report was provided. Licensee signature below confirms receipt of these rights and documents.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 51-CC-20210910112048
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: HAMDARD, MAMOONA FAMILY CHILD CARE
FACILITY NUMBER: 376100351
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/15/2021
Section Cited
CCR
102416.5(a)
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RATIO & CAPACITY – “ …The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time…” This requirement is not met as evidenced by:
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Licensee states they will disenroll any children over the 14 maximum capacity. LPA provided Licensee with a hard copy of CCR 102416.5 and the ratio/capacity worksheet. LPA/Licensee reviewed these items
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Based on interview with licensee and outside sources, facility and outside source records, Licensee failed to ensure to daycare’s legal capacity of 14 children. In the month of July 2021, licensee was found to be over capacity on 9 separate days with staff caring for 16-20 day care children at one time. This poses an immediate health & safety risk to children in care.
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together. Licensee states they will provide LPA a written statement acknowledging an understanding of this code section and legal capacity. Licensee agrees to provide LPA with written statement on how they will prevent overcapacity. Licensee agrees to provide LPA with BOTH written statements via fax or email by POC date of 11/15/2021.
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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: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
LIC9099 (FAS) - (06/04)
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