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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015701021
Report Date: 08/05/2025
Date Signed: 08/05/2025 11:24:00 AM

Substantiated


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
06/06/2025 and conducted by Evaluator Randy Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250606153435
FACILITY NAME:AKRAMI, SIMINFACILITY NUMBER:
015701021
ADMINISTRATOR:SIMIN AKRAMIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 458-7606
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY:14CENSUS: 0DATE:
08/05/2025
UNANNOUNCEDTIME BEGAN:
08:37 AM
MET WITH:Simin AkramiTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Ratio: Provider is operating out of ratio
INVESTIGATION FINDINGS:
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On August 5, 2025, at 10:08AM, Licensing Program Analysts (LPA) Randy Miranda met with licensee Simin Akrami to deliver the findings from a complaint investigation for the above allegation. Present during the inspection were the licensee, licensee’s fingerprint cleared spouse, and licensee’s two children (16 and 13.5 years-old.) There were zero (0) children in care.

Based on LPA’s observations, interviews, and record reviews, the provider was operating out of ratio. Therefore, the preponderance of evidence standard has been met. The above allegation of the Provider is operating out of ratio is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 3, Article 06, Section:102416.5(a) is being cited on the attached LIC 9099D. Failure to submit Proof of Corrections (POC) by Plan of Correction date may result in additional civil penalties.

***Continued on LIC 9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2025
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 3
Control Number 52-CC-20250606153435
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: AKRAMI, SIMIN
FACILITY NUMBER: 015701021
VISIT DATE: 08/05/2025
NARRATIVE
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The attached type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in each child's file to be reviewed by licensing.

A Notice of Site Visit was provided and must remain posted for 30 days. Appeals Rights provided.


Exit interview conducted with licensee Simin Akrami.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 52-CC-20250606153435
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: AKRAMI, SIMIN
FACILITY NUMBER: 015701021
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/05/2025
Section Cited
CCR
102416.5(a)
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102416.5(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by:
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Taking photo documentation, using cell phone clock as a time-stamp, for signing in/out of enrolled children. Photo proof must be submitted by Friday, August 8, 2025 at 4pm.
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Based on record reviews, interviews, and observations, it was determined by LPA that the facility was operating out of ratio. This poses a potential risk to the health and safety of the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3