304313843-2-3-2025-06-CC-THOO-DEPRW2-20250312132224

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304313843
Report Date: 02/03/2025
Date Signed: 02/03/2025 11:31:30 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/28/2025 and conducted by Evaluator Mahnaz Malek

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20250128152019

FACILITY NAME:	TEHRANI, SEPIDEH & TEHRANI, SIAVASH		FACILITY NUMBER:	304313843
ADMINISTRATOR:	T, SEPIDEH/SIAVASH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 900-9522
CITY:	LAGUNA NIGUEL	STATE: CA	ZIP CODE:	92677
CAPACITY:	14	CENSUS: 12	DATE:	02/03/2025
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Co-licensee Siavash Tehrani		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Provider is operating out of capacity

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a complaint investigation regarding the above allegation. LPA met with Co-licensee, Siavash Tehrani. The co-licensee, Sepideh Tehrani arrived during LPA's presence at 10:30 am. LPA observed 12 children of whom 4 were under 24 months old with 2 assistants. The facility was operating within the Large Family Childcare Home capacity.
A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 1/28/2025, the Orange County Childcare Office received a complaint report alleging “Provider is operating out of capacity). The Reporting Party (RP) stated they observed the provider was out of their infant capacity on 1/28/2025 at 12:45pm. Reporting party stated they observed 5 infants (children under 24 months old) and 6 children over 24 months old with the presence of three adults.
Continued on page 2

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

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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Control Number 06-CC-20250128152019

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: TEHRANI, SEPIDEH & TEHRANI, SIAVASH	FACILITY NUMBER: 304313843
	VISIT DATE: 02/03/2025

NARRATIVE

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Today, LPA interviewed 5 adults. Adult # 1 (A1), (A2),(A3) (A4) and (A5)
During the course of interviews, A1 admitted that a 4 months old child was added to the capacity of 4 infants on 1/28/2025 for couple of hours. A1 admitted that A1 made a mistake to admit the 5th infant for that day for couple of hours which led to being out of infant capacity for Large Family Childcare Home.
A2 admitted A2 was misunderstood regarding the presence of the 5th child for that day.
A3 also admitted they had the 5th infant on 1/28/2025 from 11:15 am to 1:00pm.
A4 stated they had the 5th infant on 1/28/2025 for a short time. A4 is not sure about the exact time of the 5th infant's presence.
A5 was not present on 1/28/2025. However, A5 confirmed that A5 had not observed more than 4 infants at the facility on any time given.
LPA reviewed 12 children's file and the roster of the present enrolled children. As of today, there are 4 infants enrolled on the roster. Based on the interviews with A1, A2, A3, A4 and A5 and reviewing documents and evidence submitted to LPA for investigation, it was determined the preponderance of evidence standard has been met, the allegation of " Provider is operating out of capacity” is found to be SUBSTANTIATED. The facility had 5 infants on 1/28/2025 which is out of the capacity of infants for Large Family Childcare Home. The total capacity of infants shall not be more that 4 infants at any one time.
In the areas that were evaluated, the following deficiency was observed of the California Code of Regulations, Title 22, Division 12 on this inspection. Please see LIC 809D for details of deficiency.
Licensees were informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00. LPA Malek informed the licensees that this report dated 2/3/2025 documents type A citation shall be posted for 30 consecutive days as there is immediate risks to the health, safety, or personal rights of children in care. Also, LPA Malek informed the licensees to provide a copy of this licensing report dated 2/3/2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Licensees were provided with a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.
The exit interview was conducted with licensees Sepideh, and Siavash Tehrani.
End of report

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20250128152019

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: TEHRANI, SEPIDEH & TEHRANI, SIAVASH	FACILITY NUMBER: 304313843
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/03/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/04/2025 Section Cited CCR 102416.5	1 2 3 4 5 6 7	102416.5 Staffing ratio and capacity- (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's	1 2 3 4 5 6 7	The licensees were in compliance today. The licensees agreed to make sure they would comply with the regulations for staffing and ratio capacity. The licensees would send a statement to LPA's email acknowledging understanding the staffing ratio and capacity
	8 9 10 11 12 13 14	children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants…… This requirement was not met as evidenced by a complaint report observed 5 infants on 1/28/2025. and admission of A1, A2, A3 and A4 having 5 infants on 1/28/2025. This is an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	at all times. A flyer of the capacity regulations was given to Sepideh and Siavash Tehrani for future reference.
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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: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2025

LIC9099 (FAS) - (06/04)

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