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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274417325
Report Date: 04/04/2024
Date Signed: 04/04/2024 10:52:22 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/15/2024 and conducted by Evaluator Elizabeth Larios
COMPLAINT CONTROL NUMBER: 07-CC-20240215114929
FACILITY NAME:BEBAWI, EVALEN & BEBAWY, KAROLEENFACILITY NUMBER:
274417325
ADMINISTRATOR:BEBAWI,E.&BEBAWY,K.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 884-6139
CITY:MARINASTATE: CAZIP CODE:
93933
CAPACITY:14CENSUS: 7DATE:
04/04/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Evalen & BeshoyTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
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9
Licensee did not provide adequate supervision to day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Elizabeth Larios conducted an unannouced visit to deliver the complaint allegation listed above. LPA met with Licensees, Evalen & Karoleen and son Beshoy Bebawi and explained the purpose of the visit.

Based on interviews, licensee and assistant(s) stated that children are always supervised by either licensee or assistant(s) while in their care. Based on LPA observations during site visits, and interviews conducted, it is concluded that although the allegation noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. The allegation is therefore UNSUBSTANTIATED.

No deficiency was cited. Exit interview was conducted, where this report was reviewed and discussed with Evalen, Karoleen, and Beshoy.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2024
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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