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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197401624
Report Date: 10/22/2024
Date Signed: 10/22/2024 12:19:05 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/01/2024 and conducted by Evaluator Judy Laureano
COMPLAINT CONTROL NUMBER: 30-CC-20240801113320
FACILITY NAME:TABAE FAMILY DAY CAREFACILITY NUMBER:
197401624
ADMINISTRATOR:TABAE, EFFATFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 571-1521
CITY:WEST LOS ANGELESSTATE: CAZIP CODE:
90025
CAPACITY:12CENSUS: 3DATE:
10/22/2024
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Effat Tabae, LicenseeTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Personal Right: Licensee confines infants to high chairs
Personal Rights: Licensee does not ensure that infants; diapering needs are met
INVESTIGATION FINDINGS:
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On 10/22/2024 Licensing Program Analysts (LPA)s Judy Laureano and Brittany Lovest arrived at the above mentioned facility for the purpose of delivering findings for the above mentioned allegations. LPAs met with Effat Tabae, Licencesee and toured the home inside and outside. LPAs observed 3 children with Licensee and Licensee’s husband providing care and supervision.

Licensee was preparing snack and observed two children sitting in high chairs eating their snack.

On 08/14/2024 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose of investigating the above-mentioned allegations. Upon arrival, LPA met with licensee, Effat Tabae, and discussed the purpose of the visit. LPA toured the facility and observed 7 child in care with Licensee and Licensee’s husband. LPA observed children playing outside. LPA reviewed children’s file.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
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 30-CC-20240801113320
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: TABAE FAMILY DAY CARE
FACILITY NUMBER: 197401624
VISIT DATE: 10/22/2024
NARRATIVE
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On 08/05/2024 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose of investigating the above-mentioned allegations. Upon arrival, LPA met with licensee, Effat Tabae, and discussed the purpose of the visit. LPA toured the facility and observed 6 child in care, sitting in chairs getting ready for snack time. Licensee confirmed that children were about to eat a snack before a snack.

On 10/22/2024 LPA Laureano and LPA Lovest concluded all relevant interviews.

Based on interview with Licensee, Assistant and parents, NO information was disclosed that home is violating children’s personal rights by confining children to high chairs and/or by not meeting infants diapering needs, therefore the allegations are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disapprove of the allegations.

No deficiencies were cited during today’s inspection in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1.

Upon on receipt of this report, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Licensee Effat Tabae. A copy of this report was discussed and left with the Licensee, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2