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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198010584
Report Date: 01/05/2023
Date Signed: 01/05/2023 12:00:34 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/19/2022 and conducted by Evaluator Raul Navarro
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20221019130923
FACILITY NAME:LONG BEACH COMMUNITY IMPROVEMENT LEAGUEFACILITY NUMBER:
198010584
ADMINISTRATOR:LAURA SIDNEYFACILITY TYPE:
850
ADDRESS:2399 CALIFORNIA AVENUE,SUITE ATELEPHONE:
(562) 989-5766
CITY:SIGNAL HILLSTATE: CAZIP CODE:
90755
CAPACITY:112CENSUS: 14DATE:
01/05/2023
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Farahnaz Khaleghi- LicenseeTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Daycare child sustained injuries while in care.
Facility staff used an inappropriate form of punishment on daycare child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced complaint inspection on 01/05/2023. LPA arrived at the facility at 10:55am and met with Licensee Farahnaz Khaleghi. The purpose of the inspection was to deliver the findings of the above allegations. There were 14 children with two staff present during today's inspections.

During the course of the investigation LPA Navarro toured the facility, conducted interviews with the Complainant, staff, children in care, and parents. Interviews conducted with the staff, children, and parents were not consistent with the allegations made by the Complainant. Due to conflicting statements made by the Complainant and interviews conducted with staff, children, and parents, the allegations of day care child sustained injuries while in care and facility staff used an inappropriate form of punishment on daycare child are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023
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 54-CC-20221019130923
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LONG BEACH COMMUNITY IMPROVEMENT LEAGUE
FACILITY NUMBER: 198010584
VISIT DATE: 01/05/2023
NARRATIVE
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Exit interview was conducted with Licensee Farahnaz Khaleghi. The notice of site visit was given to the Licensee and must remain posted for 30 days.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2