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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700194
Report Date: 08/05/2026
Date Signed: 08/05/2026 01:56:55 PM

Document Has Been Signed on 08/05/2026 01:56 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:NAZIR, YASMINFACILITY NUMBER:
015700194
ADMINISTRATOR/
DIRECTOR:		NAZIR, YASMINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 710-2235
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
08/05/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Yasmin NazirTIME VISIT/
INSPECTION COMPLETED:
02:10 PM
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On August 5, 2026, at 11:30 AM, Licensing Program Analyst (LPA) Elimika Woods met with licensee Yasmin Nazir to conduct an unannounced Annual Random Inspection. The facility operates as a Large Family Child Care Home licensed for a capacity of fourteen (14) children. At the time of the inspection, eight (8) children, including one (1) school-age child, were present and being supervised by the licensee. LPA toured the facility with the licensee, both inside and outside, to conduct a health and safety inspection.

This is a two-story home owned and operated by the licensee. The home consists of four bedrooms, three bathrooms, a living room, dining room, family room, kitchen, backyard, and an attached two-car garage. LPA asked the licensee whether she keeps firearms in the home or provides transportation for children in care. The licensee stated that she does not have any firearms in the home and does not provide transportation for children in care. The home was observed to be clean, orderly, and well maintained. It is equipped with central heating and adequate ventilation to ensure the health, safety, and comfort of the children in care. The facility's hours of operation are Monday through Friday from 8:30 AM to 5:30 PM.

The on-limits areas include the family room, kitchen, living room, dining room, backyard, and the downstairs bathroom. The designated isolation area is a section of the family room, where an ill child may be separated from other children while remaining under visual supervision.

The off-limits areas include the entire second floor of the home, the attached garage, the upper patio deck, and the stairs leading to the upper patio. These areas are made inaccessible to children by closed and/or locked doors and are monitored through visual supervision.



See 809-C.
Chandra Charles
Elimika Woods
DATE: 08/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: NAZIR, YASMIN
FACILITY NUMBER: 015700194
VISIT DATE: 08/05/2026
NARRATIVE
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Around 12:15 PM, Licensing Program Analyst (LPA) asked the licensee whether she was providing Incidental Medical Services (IMS) to children in care, and the licensee stated that she was not. LPA discussed the Incidental Medical Services (IMS) policy with the licensee. LPA advised the licensee that 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/.

LPA inspected the cabinets and storage areas throughout the on-limits portions of the home, including the family room, kitchen, living room, dining room, and downstairs bathroom. No hazardous materials, cleaning supplies, medications, or other toxic substances were observed to be accessible to children during today's inspection. LPA tested the smoke detector and carbon monoxide detector located in the hallway and verified that both were functioning properly. The home is equipped with a working telephone, a fully stocked first aid kit, and a fully charged 2A10BC fire extinguisher that meets the standards established by the State Fire Marshal. LPA also observed that the fireplace located in the family room is equipped with a protective barrier/screen to prevent children from accessing the fireplace.

LPA discussed the safe sleep regulations with licensee and discussed 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.

At 12:00 PM, LPA inspected the backyard and confirmed that no swimming pools, hot tubs, or other bodies of water were present, in compliance with childcare licensing regulations. The outdoor play area was observed to be fully fenced, free of defects and hazardous conditions, and equipped with age-appropriate play equipment in good repair. Outdoor equipment included a basketball hoop, benches, tables, chairs, a sandbox with digging toys, climbing equipment, slides with cushioning underneath to absorb falls, water play equipment, a roller coaster ride-on toy, bicycles, tricycles, scooters, and a miniature playhouse. A large awning and canopy provide adequate shade and protection from direct sunlight during outdoor activities. LPA also observed a storage shed secured with a lock to prevent children from accessing equipment and tools stored inside.

At 12:30 PM, LPA requested and reviewed the files of four (4) children in care. All children's files contained the required Parent Notification of Additional Children in Care, Identification and Emergency Information, Parent's Rights, and Medical Consent forms. LPA also reviewed the immunization records for the licensee and the children and verified that the licensee is in compliance with the immunization requirements applicable to child care providers.



See 809-C.
NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: NAZIR, YASMIN
FACILITY NUMBER: 015700194
VISIT DATE: 08/05/2026
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The licensee conducts and documents fire and disaster drills at least once every six months. LPA reviewed the drill log and verified that the most recent fire and disaster drill was conducted on August 5, 2026. The licensee has completed the required Health and Safety training, and the licensee's CPR and First Aid certification is current, with an expiration date of July 2028. The licensee also completed the required Mandated Reporter Training on October 31, 2024. LPA reviewed the facility roster and verified that it accurately reflects the children currently enrolled, as well as those no longer attending the facility. LPA also verified that all required licensing notices and documents are posted in a prominent location and are visible for public review.

Effective August 1, 2003, California Law requires Family Child Care Home licensees to report unusual incidents or injuries to children in care to children’s parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624B). Incidents must be reported within 24 hours by phone, fax, or electronic mail. The licensee was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting 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.

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.

The licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE Yasmin Nazir, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

The following deficiencies were observed during today's inspection:


At 11: 45 am, LPA observed the licensee was supervising eight children in care and the eight child was not school age.

See 809-D for no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Yasmin Nazir.
NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 08/05/2026 01:56 PM - It Cannot Be Edited


Created By: Elimika Woods On 08/05/2026 at 01:32 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NAZIR, YASMIN
FACILITY NUMBER: 015700194

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/05/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.5(b)(3)
Staffing Ratio and Capacity
(b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following: (3) More than six and up to eight children, without an additional adult attendant, only if the criteria in
Section 1597.44 of the Health and Safety Code are met.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in which she was over ratio because she did not have the required number of school age children in care for a small which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/05/2026
Plan of Correction
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The licensee stated that one child will be picked up and removed from care today, bringing the facility into compliance with the licensed capacity for a Small Family Child Care Home. The licensee acknowledged the licensing requirements and stated that she will ensure the number of children in care does not exceed the licensed capacity in the future and will operate in accordance with applicable Child Care Licensing regulations.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Chandra Charles
NAME OF LICENSING PROGRAM MANAGER:
Elimika Woods
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/05/2026


LIC809 (FAS) - (06/04)
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