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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376605953
Report Date: 11/07/2022
Date Signed: 11/07/2022 09:33:27 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
08/26/2022 and conducted by Evaluator Grace Curtis
COMPLAINT CONTROL NUMBER: 51-CC-20220826132945
FACILITY NAME:IMANI, ZAHRA FAMILY CHILD CAREFACILITY NUMBER:
376605953
ADMINISTRATOR:ZAHRA IMANIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 744-0701
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY:14CENSUS: 3DATE:
11/07/2022
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Zahra ImaniTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Out of ratio.
Lack of supervision resulting in daycare children sustaining injuries while in care.
INVESTIGATION FINDINGS:
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On November 7, 2022 at 8:55 a.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced inspection to deliver the findings on the complaint allegations referenced above. Upon arrival LPA met with Licensee Zahra Imani and proceeded to tour the facility. Also present was the licensee’s adult son Hassan Imani and nephew Pooyan Safaee Shirazi and 3 daycare children, all of whom were under 24 months. Appropriate ratio/capacity was observed. All adults have the required background clearances and are associated to the facility.

The initial complaint investigation was conducted by LPA Curtis on 8/31/22. Throughout the course of investigation, interviews were conducted with the complainant, licensee, helper, a daycare child and several parents. Facility records were obtained and reviewed. The information obtained from interviews and facility records were contradictory to the allegations. Based on this information, the allegations are determined to be unsubstantiated which means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged incidents or violations occurred at the facility.

No deficiencies are cited.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022
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-20220826132945
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: IMANI, ZAHRA FAMILY CHILD CARE
FACILITY NUMBER: 376605953
VISIT DATE: 11/07/2022
NARRATIVE
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LPA and Licensee discussed biting in the child care setting and LPA provided Licensee with a copy of the California Childcare Health Program, UCSF School of Nursing’s Biting in the Child Care Setting pamphlet.

An exit interview was conducted with the licensee and Appeal Rights (LIC 9058) were discussed. A copy of this report as well as a copy of the appeal rights were given to the licensee. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the licensee post Notice of Site Visit.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2