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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 573617483
Report Date: 04/11/2023
Date Signed: 04/11/2023 01:55:22 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/08/2023 and conducted by Evaluator Erwin Tjhia
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20230308091930
FACILITY NAME:MUSALLAM, ABEERFACILITY NUMBER:
573617483
ADMINISTRATOR:MUSALLAM, ABEERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 743-7417
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95691
CAPACITY:14CENSUS: DATE:
04/11/2023
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Musallam AbeerTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Provider did not provide adequate supervision resulting in day care chld sustaining a bruise while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erwin Tjhia met with Licensee, Abeer Musallam to deliver findings of the complaint investigation regarding the above allegations. There were 11 children and S1 during the visit.

Throughout the investigation, LPA conducted observations and interviewed parents, staff, and children. It was alleged that provider did not provide adequate supervision resulting in C1 sustaining a bruise while in care. Interviews with licensee and S1 revealed that they worked together when supervising the children. Sometimes they split the group where licensee will help the infants, while S1 will supervise the older group. LPA observed licensee and staff to visually supervise children, be aware of their whereabouts and responsive to their needs.

Parents who were interviewed stated that the licensee and S1 work together to supervise the children. Parents stated that when licensee was answering the door during drop off and pick up, and that S1 was on the back watching the rest of the children.
Report Continue on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Erwin Tjhia
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023
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
Control Number 53-CC-20230308091930
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: MUSALLAM, ABEER
FACILITY NUMBER: 573617483
VISIT DATE: 04/11/2023
NARRATIVE
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Some parents also stated that when their children get injured at the facility, the licensee always notified them by texting them, sending picture and informing them in person during the pickup. None of the interviewed parents, including parents of C1, had concerns regarding the supervision at the facility.

Based on the information obtained throughout the course of this investigation the above allegations, LPA Tjhia determined that the complaint was found to be unsubstantiated, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Erwin Tjhia
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2