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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013419660
Report Date: 04/24/2025
Date Signed: 04/24/2025 02:16:19 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/01/2025 and conducted by Evaluator Randy Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250401205457
FACILITY NAME:RAHMAN, NASREENFACILITY NUMBER:
013419660
ADMINISTRATOR:RAHMAN, NASREENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 683-9953
CITY:FREMONTSTATE: CAZIP CODE:
94539
CAPACITY:14CENSUS: 6DATE:
04/24/2025
UNANNOUNCEDTIME BEGAN:
12:57 PM
MET WITH:Nasreen RahmanTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Record Keeping – Licensee did not obtain the required information on the child's emergency card
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April 24, 2025, at 12:57pm, Licensing Program Analysts (LPA) Randy Miranda met with licensee Nasreen Rahman to deliver the findings from a complaint investigation for the above allegation. Present during the inspection was the licensee, licensee’s assistant, and 6 children in care (one 3.5-year-old, one 3-year-old, two 2.5-year-old, one 1.5-year-old, and one 1-year-old).

Based on interviews and record reviews, the allegation stated above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided and discussed.
An exit interview was conducted with licensee Nasreen Rahman.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/01/2025 and conducted by Evaluator Randy Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250401205457

FACILITY NAME:RAHMAN, NASREENFACILITY NUMBER:
013419660
ADMINISTRATOR:RAHMAN, NASREENFACILITY TYPE:
810
ADDRESS:48167 ALTA VISTATELEPHONE:
(510) 683-9953
CITY:FREMONTSTATE: CAZIP CODE:
94539
CAPACITY:14CENSUS: 6DATE:
04/24/2025
UNANNOUNCEDTIME BEGAN:
12:57 PM
MET WITH:Nasreen RahmanTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Other – Licensee prohibit parent from inspecting the childcare home.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On April 24, 2025, at 12:57pm, Licensing Program Analysts (LPA) Randy Miranda met with licensee Nasreen Rahman to deliver the findings from a complaint investigation for the above allegation. Present during the inspection was the licensee, licensee’s assistant, and 6 children in care (one 3.5-year-old, one 3-year-old, two 2.5-year-old, one 1.5-year-old, and one 1-year-old).

Based on interviews and record reviews, the allegation stated above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided and discussed.
An exit interview was conducted with licensee Nasreen Rahman.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2