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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100360
Report Date: 06/15/2022
Date Signed: 06/15/2022 02:30:59 PM

Document Has Been Signed on 06/15/2022 02:30 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:DIZAYI, ROZHAN FAMILY CHILD CAREFACILITY NUMBER:
376100360
ADMINISTRATOR:ROZHAN DIZAYIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 808-7480
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 3DATE:
06/15/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Licensee, Rozhan Dizayi TIME COMPLETED:
01:10 PM
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Licensing Program Analyst (LPA) Jennifer Lott conducted an announced Case Management inspection. LPA identified herself to Licensee, Rozhan Dizayi and disclosed the purpose of her visit. The purpose of her visit was to discuss the recent request for an increase in capacity and fire clearance.

During today’s visit the LPA conducted a tour of the facility with the licensee. During the 05/25/2022 Case Management inspection, it was discovered that although the Fire Department had granted a fire clearance on 04/22/2022, the home did not have a pull station fire alarm as required by the City of Santee. LPA contacted the Fire Inspector and requested another inspection. A pull station fire alarm was installed and the fire inspector conducted a follow up visit on 06/13/22 and verified the pull station was operational.

Based on today’s inspection, no deficiencies are being cited as the facility has been found to be in compliance. The fire clearance and increase in capacity is approved.

Exit interview conducted and report was reviewed with licensee, Rozhan Dizayi. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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