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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627395
Report Date: 03/11/2025
Date Signed: 03/11/2025 10:50:00 AM

Document Has Been Signed on 03/11/2025 10:50 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:VAZIRINIA, SAYENA & SHIRAZI, SAHRA FCCFACILITY NUMBER:
376627395
ADMINISTRATOR/
DIRECTOR:
SAYENA VAZIRINIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 254-9263
CITY:CARLSBADSTATE: CAZIP CODE:
92011
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
03/11/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Sayena Vazirinia and Guadalupe FierroTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 03/11/2025 at 8:30AM, Licensing Program Analyst (LPA), Hanna Lucas, and Licensing Program Manager (LPM), Joelle Redding, made an unannounced visit for the purpose of an Annual Inspection. LPA was greeted at the door by Licensee, Sayena Vazirinia, and her employee Guadalupe Fierro. The Co-Licensee, Sahra Shirazi, has moved out of the home, and therefore will be removed from the license. LPA provided Application Form LIC 279 to Licensee. The 4 bedroom, 3-bathroom home was toured and inspected to ensure that the environment is safe for the care and supervision of children. During the visit, there were 8 children in care. The facility was within ratio and capacity.

Child care areas include the living room, the kitchen, the dining room, the office, and bathroom #1. Off limits areas are the Master Bedroom, Shirazi’s Bedroom, Sina’s Bedroom, the garage, bathroom #2 and #3, and have been made inaccessible through baby gate blocking the hallway entrance while children are in care. Per the Licensee, the children are observed upon entry and throughout the day for signs of illness. If a child is ill, an appropriate isolation area has been established in the living room. The facility sketch on file is accurate. The home is clean and has adequate ventilation and heating. Licensee has provided enough space for the children to eat, sleep, and play within the home. Licensee provides food for the children and participates in the Children’s Nutrition Program. The furniture, napping materials, and children’s toys are safe and age appropriate. The backyard is used as a play space, and it is fully fenced with safe and age-appropriate equipment. Licensee was reminded that supervision of the children must be maintained at all times, and no child shall be left in a parked vehicle or car seat for sleeping purposes.

Licensee has a working cellphone and can communicate with the parents via text or call. All required forms are posted within the home. Emergency drills are being conducted and logged at least every six months and there is a written disaster plan on file. The fire extinguisher is full and of adequate size and located in the kitchen under the sink. The smoke alarm in the hallway and carbon monoxide detector in the back hallway are operational. There are no weapons stored in the home, or on the property, and there are no bodies of water present.
Joelle ReddingTELEPHONE: (619) 767-2249
Hanna LucasTELEPHONE: 619-629-8430
DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: VAZIRINIA, SAYENA & SHIRAZI, SAHRA FCC
FACILITY NUMBER: 376627395
VISIT DATE: 03/11/2025
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LPA reviewed the children and staff records, both were complete and current. Facility roster was current and is being stored for 3 years. Licensee's pediatric CPR/FA is valid until 07/2025, and Mandated Reporter certificate until 06/2025. LPA reminded the Licensee, that Mandated Reporter Training certificates are to be renewed every two years at the following website: www.mandatedreporterca.com. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. LPA discussed California Megan's Law and the website was provided as follows:www.meganslaw.ca.gov. Licensee confirmed that there are no Registered Sex Offenders living in the facility.

LPA discussed the safe sleep regulations with licensee and provided the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.
SUPERVISOR'S NAME: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Hanna LucasTELEPHONE: 619-629-8430
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: VAZIRINIA, SAYENA & SHIRAZI, SAHRA FCC
FACILITY NUMBER: 376627395
VISIT DATE: 03/11/2025
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Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview was conducted and the report was reviewed with the Licensee, Sayen Vazirinia.

No deficiencies are cited. NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Hanna LucasTELEPHONE: 619-629-8430
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025
LIC809 (FAS) - (06/04)
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