434417454-5-19-2026-07-CC-MFLS-DVMMJT-20260703093937

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434417454
Report Date: 05/19/2026
Date Signed: 05/19/2026 10:33:17 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
04/16/2026 and conducted by Evaluator Syeda Bahar

COMPLAINT CONTROL NUMBER: 07-CC-20260416103611

FACILITY NAME:	NOORI, MASSI & SHAVAKH, DAVID		FACILITY NUMBER:	434417454
ADMINISTRATOR:	MASSI NOORI&DAVID SHAVAKH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(669) 282-9179
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95123
CAPACITY:	14	CENSUS: 4	DATE:	05/19/2026
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Massi Noori & David Shavakh		TIME COMPLETED:	10:40 AM

ALLEGATION(S):

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Child sustained multiple bruises due to neglect or physical abuse while in care

INVESTIGATION FINDINGS:

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On 05/19/2026, Licensing Program Analyst (LPA) Syeda Bahar conducted an unannounced complaint investigation to deliver the findings regarding the allegation mentioned above. LPA met with Licensees, Massi Noori and David Shavakh, and explained the purpose of the visit.

LPA toured the indoor and outdoor areas of the facility and a census was taken. Present for this inspection were, Licensee, Co-Licensee (Spouse), and four infants. Later Licensee's daughter joined the inspection. The Licensees' primary language is Farsi (Iranian).

Information provided by the Reporting Party alleged that one child (C1) sustained multiple bruises due to neglect or physical abuse while in care. Throughout the course of this investigation, LPA interviewed staff and parents, reviewed records, and obtained the facility roster along with other supporting documents.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 07-CC-20260416103611

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: NOORI, MASSI & SHAVAKH, DAVID	FACILITY NUMBER: 434417454
	VISIT DATE: 05/19/2026

NARRATIVE

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[Page 2]

Interviews with staff revealed that staff denied observing or having any knowledge of a child sustaining multiple bruises due to neglect or physical abuse while in care. Staff stated that the facility provides close supervision to children. Staff reported that no bruises or injuries were observed during the child's check-in or check-out. Staff stated that parents were notified of any injuries or illness via text message, and that photos of the children were sent to parents regularly. Staff stated that if a child became ill, the parents were notified immediately to pick up the child.

Interviews with parents revealed that parents also denied observing or having any knowledge of a child sustaining multiple bruises due to neglect or physical abuse while in care. Parents stated that the child care operated as a small family home setting and that the Licensees were very communicative. Parents stated that the Licensee communicated regularly regarding the child’s health and any concerns through text updates, photos, and information about daily activities. Parents stated they were notified of minor injuries during pickup, and that in any emergency situation, staff notified them immediately.

Based on the interviews conducted and records reviewed, there is insufficient evidence at this time to support the allegation mentioned in page one. This agency has investigated the complaint alleging that child sustained multiple bruises due to neglect or physical abuse while in care.

Although the allegation may have occurred or may be valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED.

No deficiencies were cited during today’s investigation. Appeal rights were provided.

Exit interview was conducted, and the report was reviewed with Licensees, Massi Noori and David Shavakh.

A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

LIC9099 (FAS) - (06/04)

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