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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073404853
Report Date: 03/16/2023
Date Signed: 03/16/2023 02:44:04 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/10/2023 and conducted by Evaluator Monica Mathur
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20230210165429

FACILITY NAME:AMIRKHANI, ARMINEHFACILITY NUMBER:
073404853
ADMINISTRATOR:AMIRKHANI, ARMINEHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 954-8068
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94597
CAPACITY:14CENSUS: 6DATE:
03/16/2023
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Armineh AmirkhaniTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights - Provider isolates day care child(ren)
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/16/23 Licensing Program Analysts (LPAs) Monica Mathur and Christina Watts conducted an unannounced Subsequent Complaint Investigation at Armineh Amirkhani's family childcare home. LPA met with Licensee, Armineh Amirkhani and explained the purpose of today’s inspection. Present today were Licensee, 1 Helper, 2 infants, 4 preschoolers. The finding for the above allegation was delivered. During the course of the investigation LPAs inspected in-use and off limit areas, reviewed facility records and conducted interviews. There was not enough information to prove child/ren were isolated in use or off limit areas or not. LPAs did not observe children isolated in any area. Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means 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. No deficiency has been cited for this allegation. Exit interview conducted with Licensee, Armineh Amirkhani.
A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
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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