434416155-2-22-2023-07-CC-GKUN-CPJVV7-20230302154551

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434416155
Report Date: 02/22/2023
Date Signed: 02/22/2023 12:15:47 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 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
01/13/2023 and conducted by Evaluator Pietro Hernandez

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20230113152556

FACILITY NAME:	CARASTAN, MEHRNAZ		FACILITY NUMBER:	434416155
ADMINISTRATOR:	MEHRNAZ CARASTAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 705-0505
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95111
CAPACITY:	14	CENSUS:	DATE:	02/22/2023
		UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Mehranaz Carastan		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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1) Provider is physically abusing day care children while in care.

2) Provider leaves day care children in basement.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPAs) Pete Hernandez and Frida Raja conducted an unannounced subsequent complaint visit today. LPA met with Licensee, Mehranaz Carastan.

On 1/19/2023: LPA Hernandez conducted an initial complaint investigation of the above allegations. On 02/07/2023, LPA's and LPM Gladys Kuizon conducted a subsiquent follow up complaint investigation and interviewed Licensee and Staff.

Based on LPA's interviews conducted with the licensee, staff, reporting party, parents and records reviewed; although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the above allegation did or did not occur, therefore the allegations above are UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Pietro Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

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 07-CC-20230113152556

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: CARASTAN, MEHRNAZ	FACILITY NUMBER: 434416155
	VISIT DATE: 02/22/2023

NARRATIVE

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Allegation 1): Provider is physically abusing day care children while in care. LPA Hernandez interviewed the Licensee, Assistant and Parents of the children. These parties all deny any evidence, knowledge or having observed the Licensee ever administering corporal punishment or any physical abuse of children in care. Based on all the interviews and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the above allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Allegation 2): Provider leaves day care children in basement. Through LPA's investigations, interviews, police reports, and records review the following facts support the findings: There is a room with an adjoining bathroom on the 1st of 3 floors. This is an unapproved area for the day care but is not a basement. The LPA was told by the Licensee and Assistant that this area was used for bathroom purposes only when the second floor bathroom needed repairs. LPA observed the children using the bathroom on the first floor at the initial inspection visit. The Licensee is aware that the bathroom down stairs was not approved for day-care use. Licensee and Assistant denied leaving children downstairs and stated children are always accompanied when using the bathroom. Based on all the interviews and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the above allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted and reviewed with the licensee. A copy of this report was discussed and left with the Licensee, Mehranaz Carastan, whose signature on this form confirm receipt of these documents.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Pietro Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

LIC9099 (FAS) - (06/04)

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