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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376100952
Report Date: 08/04/2023
Date Signed: 08/07/2023 07:39:05 AM

Unsubstantiated


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
07/06/2023 and conducted by Evaluator Jennifer Lott
COMPLAINT CONTROL NUMBER: 51-CC-20230706110931
FACILITY NAME:HAMASAED, AVAN FAMILY CHILD CAREFACILITY NUMBER:
376100952
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 1DATE:
08/04/2023
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Licensee, Avan Hamasaed TIME COMPLETED:
03:05 PM
ALLEGATION(S):
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Provider left day care child unattended resulting in a fall
Provider restrained day care child in a car seat
Provider left day care children unattended for a period of time
INVESTIGATION FINDINGS:
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On 08/04/23 at 2:30pm, Licensing Program Analyst (LPA) Jennifer Lott conducted a complaint investigation visit to deliver findings for the complaint received on 07/06/2023. LPA was greeted at the front door by Licensee, Avan Hamasaed and was granted entry after identifying herself and disclosing the reason for her visit.

The Department’s investigation consisted of interviews, observations and documentation. It is alleged that on or about 06/28/2023 the provider left a day care child unattended resulting in a fall. Based on the information obtained during interviews, it was determined that children are not left unattended and that none of the day care children had a fall. It is also alleged that the provider restrained a day care child in a car seat. Based on LPA’s observations and interviews, it was determined that the
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2023
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 51-CC-20230706110931
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: HAMASAED, AVAN FAMILY CHILD CARE
FACILITY NUMBER: 376100952
VISIT DATE: 08/04/2023
NARRATIVE
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licensee does not own a car seat. Interviews revealed that the parents of children in care also do not leave their car seats at the facility nor have they left any in the past. Additionally, video obtained during the time frame in question shows a child in a high chair only and once they finished eating, were removed from the high chair and were playing with toys. Lastly, it is alleged that the provider left day care children unattended for a period of time. Interviews and video revealed that licensee is with the children either in the playroom or backyard and does not leave them unattended.

This agency has investigated the complaint alleging provider left day care child unattended resulting in a fall, provider restrained day car child in a car seat and provider left day care children unattended for a period of time. The Department has found that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occurred, therefore the above allegation(s) are found to be UNSUBSTANTIATED. Exit interview conducted and report was reviewed with Licensee Hamasaed. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2023
LIC9099 (FAS) - (06/04)
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