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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434403322
Report Date: 07/12/2023
Date Signed: 07/12/2023 03:53:37 PM

Substantiated


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
03/02/2023 and conducted by Evaluator Elizabeth Berumen
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230302151636
FACILITY NAME:AKBARI-FEO, MARIAFACILITY NUMBER:
434403322
ADMINISTRATOR:AKBARI-FEO-, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 371-7863
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY:14CENSUS: 9DATE:
07/12/2023
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Maria Akbari-FeoTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee does not live in the home
INVESTIGATION FINDINGS:
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Licensing Program Analyst's (LPA's) Elizabeth Berumen and Teodoro Trujillo met with Licensee, Maria Akbari-Feo for a follow up complaint investigation. Purpose of today's investigation is to deliver complaint investigation findings. LPA also observed day care children ( two infants & seven preschoolers) and one adult assistant (Maria Saucedo) in the home during today. The investigation of the complaint allegation listed above was conducted by LPA's Berumen and Mariou Monico.

Based on interviews, record reviews, observations, and evidence gathered during the investigation process, the Department concludes that the Licensee, Maria Akbari-Feo does not live in the home.

The above allegation is found to be SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met. A "Type A" deficiency is being cited on the attached LIC 9099-D. Exit interview conducted and the appeal rights were provided to Licensee, Maria Akbari-Feo. A notice of site visit was given and must remain posted along with today's report for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023
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
Citations on this Visit Report are Under Appeal!

Control Number 07-CC-20230302151636
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: AKBARI-FEO, MARIA
FACILITY NUMBER: 434403322
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
07/13/2023
Section Cited
HSC
1596.78(a)
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"Family day care home" means a home that regularly provides care, protection, and supervision for 14 or fewer children, in the provider's own home, for periods of less than 24 hours per day, while the
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The Licensee has been advised that she must reside "exclusively" in the home in which she is licensed as a large Family Child Care Home. Maria agrees to submit a written plan of correction by July 13, 2023.
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parents or guardians are away, and is either a large family day care home or a small family day care home. This requirment was not met as evidenced by;
Licensee is not living in the home in which she is licensed.
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AB633 Parent Notification is required.
This page shall be provided to all parents of children currently enrolled and any future children being enrolled for the next 12 months per AB633 requirements.
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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: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2