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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434414604
Report Date: 03/19/2026
Date Signed: 03/19/2026 11:47:18 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/30/2026 and conducted by Evaluator Mandeep Kaur
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20260130130029
FACILITY NAME:MOHAMMED, FETHYAFACILITY NUMBER:
434414604
ADMINISTRATOR:MOHAMMED, FETHYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 241-3263
CITY:SANTA CLARASTATE: CAZIP CODE:
95050
CAPACITY:14CENSUS: 12DATE:
03/19/2026
UNANNOUNCEDTIME BEGAN:
08:53 AM
MET WITH:Fethya MohammedTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Daycare child sustained multiple injuries due to staff neglect or physical abuse.
INVESTIGATION FINDINGS:
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On 03/19/2026, Licensing Program Analyst (LPA) Mandeep Kaur conducted an unannounced follow up complaint investigation. LPA met with Licensee, Fethya Mohammed and explained the purpose of today's investigation: deliver investigation findings. During today's investigation, present were Licensee's Assistant(S1) and 12 children(2 infants and 10 preschool age). LPA conducted complaint investigation comprising of observations, Licensee's interview, staff interviews, random parents interviews, children interviews and attempted interviews with children, records review and evidence gathered.

Based on interviews, on 01/28/2026, a staff(S2) observed a scratch on a child(C1). Based on evidence gathered and interviews, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiency issued during today's investigation. Appeal rights were provided.
**continue on next page**
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
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 2
Control Number 07-CC-20260130130029
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MOHAMMED, FETHYA
FACILITY NUMBER: 434414604
VISIT DATE: 03/19/2026
NARRATIVE
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Exit interview conducted and report was reviewed with Licensee, Fethya Mohammed.

Notice of site visit issued and must remain posted for 30 days.
SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2