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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073406962
Report Date: 02/06/2024
Date Signed: 02/06/2024 12:18:36 PM

Substantiated


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
01/30/2024 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20240130141448
FACILITY NAME:HABIBI, FARIDEHFACILITY NUMBER:
073406962
ADMINISTRATOR:HABIBI, FARIDEHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 231-5924
CITY:MARTINEZSTATE: CAZIP CODE:
94553
CAPACITY:14CENSUS: 7DATE:
02/06/2024
UNANNOUNCEDTIME BEGAN:
08:17 AM
MET WITH:FARIDEH HABIBITIME COMPLETED:
12:30 PM
ALLEGATION(S):
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LICENSE- Licensee is operating beyond the terms and conditions of the license
INVESTIGATION FINDINGS:
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On February 6, 2024 at 8:00am, Tasha Alexander met with licensee Farideh Habibi to discuss the above complaint allegation.

Today upon arrival, there were 7children present (6 preschoolers and 1 infant over 12 months) along with licensee. three more children arrived at approximately 9;45am,10:00am and 10:48am. Per licensee, her assistant recently quit and her last day was 2/1/2024. Today the facility is out of ratio. Ratios have been discussed with the licensee and licensee says she will have her daughter who is finger print cleared act as a temporary assistant.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter number 1, are being cited on the attached LIC. 9099D.

An exit interview was conducted. A notice of site visit was posted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024
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
Control Number 02-CC-20240130141448
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: HABIBI, FARIDEH
FACILITY NUMBER: 073406962
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/07/2024
Section Cited
CCR
102416
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102416.5 Staffing Ratio and Capacity
(2) Health and Safety Code section 1597.465 states:
A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met:
(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
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Licensee says she will have her adult finger print cleared daughter act as a temporary assistant until she hires a new one. Licensee understands that she must reduce her capacity to 6 preschoolers by 2/7/24, if an assistant is not present.
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THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY: INTERVIEWS, OBSERVATIONS AND RECORDS REVIEW WHICH REVEALED THE LICENSEE IS OUT OF RATIO BY HAVING 10 PRESCHOOL AGE CHILDREN PRESENT WITHOUT AN ASSISTANT PRESENT.
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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: Loretta Dyson
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024
LIC9099 (FAS) - (06/04)
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