Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376627064
Report Date: 04/17/2018
Date Signed: 04/17/2018 04:07:26 PM


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
02/22/2018 and conducted by Evaluator Gloria Cruz
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20180222134059
FACILITY NAME:GHOLAMI, GHOLAM & HOSEINI, MARYAM FCCFACILITY NUMBER:
376627064
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
04/17/2018
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:TIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
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9
Licensee operating overcapacity
INVESTIGATION FINDINGS:
1
2
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13
LPA made an unannounced visit to the facility to deliver findings on a complaint alleging Overcapacity. LPA met with Maryam Hoseini, son Alireza interpreted. CCL has conducted an investigation consisting of records reviews, observations, witness and parent interviews. Licensee is registered with two child care subsidary programs, YMCA and CDA. There are two children registered from CDA; YMCA has 29 children registered (two of which are Licensee's biological children) but they are in care on different days and hours. LPA has found that there was an issue with reporting to YMCA in January where the paperwork showed 24 children in care but YMCA has stated that this was an error in reporting and had been straightened out. Records indicate that 11 children were in care on different days and hours during the month. There was no indication of Licensee being overcapacity in the month of January.
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 is cited. NOTICE OF SITE VISIT POSTED AND MUST REMAIN POSTED FOR 30 DAYS
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (559) 767-2250
LICENSING EVALUATOR NAME: Gloria CruzTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2018
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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