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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376624004
Report Date: 12/05/2025
Date Signed: 12/05/2025 12:10:03 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/01/2025 and conducted by Evaluator Kelly Gerth
COMPLAINT CONTROL NUMBER: 10-CC-20251201094523
FACILITY NAME:IMTIAZ, SYEDA FAMILY CHILD CAREFACILITY NUMBER:
376624004
ADMINISTRATOR:SYEDA IMTIAZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 451-7658
CITY:OCEANSIDESTATE: CAZIP CODE:
92057
CAPACITY:14CENSUS: 6DATE:
12/05/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Licensee Syeda Imtiaz TIME COMPLETED:
11:16 AM
ALLEGATION(S):
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Licensee inappropriately disciplines child in care.
Licensee does not treat daycare children with dignity and respect.
INVESTIGATION FINDINGS:
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 On the above date and time, Licensing Program Analyst (LPA) Kelly Gerth conducted an unannounced complaint inspection and met with Licensee Syeda Imtiaz and provided the purpose of the inspection, to initiate an investigation of the above stated allegation(s) received by CCL on December 01, 2025. During the visit, LPA toured the facility, reviewed documents pertinent to the investigation including, conducted observations and interviewed the Licensee.
The complaint CCL received stated the following allegations: Licensee inappropriately disciplines child in care and Licensee does not treat daycare children with dignity and respect.
Regarding the allegation Licensee inappropriately disciplines child in care. . During the complaint investigation, LPA Gerth conducted an interview with both the Reporting Party (RP) and Licensee Syeda ‘Ms Komal’ Imtiaz. The complaint allegations made to CCL detailed that on November 24, 2025 the Licensee had addressed two children in care in a manner that was inappropriate in tone, verbiage and discipline method. During the visit on 12/05/25 LPA Gerth also conducted file reviews and made observations. Next Page
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2025
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 3
Control Number 10-CC-20251201094523
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: IMTIAZ, SYEDA FAMILY CHILD CARE
FACILITY NUMBER: 376624004
VISIT DATE: 12/05/2025
NARRATIVE
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Although narratives from interviews conducted did vary slightly, interviews did corroborate that the method of discipline used at the time of the incident was not an appropriate method of discipline. LPA found that the method used was a violation of personal rights of children in care. Therefore, based on LPA’s observations, interviews conducted and documents reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
Regarding the allegation Licensee does not treat daycare children with dignity and respect. During the investigation, LPA conducted interviews and made observations during the visit to the home daycare on 12/05/2025. Although the language used by the Licensee may have the intent of redirection for children’s health and safety, some verbiage used at times and delivery method was found to be in violation of children’s personal rights and inappropriate to use for redirection and/or addressing children in care. Based on LPA’s observations, interviews conducted and documents reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

See 809 D Page

An exit interview was conducted, and this report was reviewed with Licensee Syeda Imtiaz. Appeal rights were discussed and provided during the exit interview. A notice of site visit was given and licensee understands this must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20251201094523
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: IMTIAZ, SYEDA FAMILY CHILD CARE
FACILITY NUMBER: 376624004
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/12/2025
Section Cited
CCR
102423(a)(1)
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102423(a)(1) Each child receiving services from a family childcare home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons. This requirement was not met as evidenced by:
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By POC date, licensee stated she will submit to CCL, a written plan for Licensee and staff to use which will outline positive behavior techniques, approaches for redirecting children in care and align with all Title 22 regulations.
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Based on observation and record review the licensee did not comply with the section cited above when language and method used by Licensee, intended as redirection on at least one occasion, was not appropriate and violated children’s personal rights, which poses a potential health, safety or personal rights risk to persons in care.
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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: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2025
LIC9099 (FAS) - (06/04)
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