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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416155
Report Date: 06/09/2025
Date Signed: 06/09/2025 02:22:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 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
04/10/2025 and conducted by Evaluator Syeda Bahar
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250410083647
FACILITY NAME:CARASTAN, MEHRNAZFACILITY NUMBER:
434416155
ADMINISTRATOR:MEHRNAZ CARASTANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 705-0505
CITY:SAN JOSESTATE: CAZIP CODE:
95111
CAPACITY:14CENSUS: 8DATE:
06/09/2025
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Mehrnaz CarastanTIME COMPLETED:
12:46 PM
ALLEGATION(S):
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Licensee hit a child
INVESTIGATION FINDINGS:
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Licensing Program Analysts(LPAs) Syeda Bahar and Mandeep Kaur met with Licensee, Mehrnaz Carastan for an unannounced follow up complaint investigation. Purpose of today's investigation: deliver investigation findings. LPA Bahar conducted observations and interviewed random parents during the investigation. LPA toured inside and outside areas of the facility during investigation.

LPAs interviewed licensee during today's investigation.

Based on interviews and observations during the investigation process, it is concluded that although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED.

No Deficiency issued during today's investigation. Appeal rights provided.

**Continue on next Page**
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025
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 2
Control Number 07-CC-20250410083647
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CARASTAN, MEHRNAZ
FACILITY NUMBER: 434416155
VISIT DATE: 06/09/2025
NARRATIVE
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Exit interview conducted and report was reviewed with Licensee, Mehrnaz Carastan.

Notice of site visit issued and must remain posted for 30 days.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2