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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214200021
Report Date: 02/10/2025
Date Signed: 02/10/2025 12:17:27 PM

Document Has Been Signed on 02/10/2025 12:17 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BEYKPOUR, NAIMAFACILITY NUMBER:
214200021
ADMINISTRATOR/
DIRECTOR:		BEYKPOUR, NAIMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 380-9880
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
02/10/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Licensee, Naima BeykpourTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 2/10/2025, at approximately 10:20AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Licensee, Naima Beykpour, and explained the purpose of the visit. Present during the visit was Licensee, Licensee’s spouse, a helper, four infants, and two preschool age children. The facility is operating within staffing and ratio requirements on this day. The facility’s hours of operation are from 8:00AM to 5:00PM, Monday to Thursday, and 8:00AM to 4:30PM on Fridays.

Daycare Areas: Playroom, Office, Bedroom #1 (Master Bedroom), Bedroom #2, Bathroom #1,
Off-limits Areas: Living Room, Kitchen, Dining Area, and Garage.

LPA and Licensee inspected the home for any health or safety hazards. The home is equipped with fully charged fire extinguishers that are at least size 2A10BC. There are combination smoke and carbon monoxide detectors present in the home. There is a fireplace in the Living Room that has been blocked to be inaccessible to children in care. Electrical outlets are covered or blocked by furniture when not in use. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care.

LPA observed there to be age-appropriate toys and learning materials. Furniture is age-appropriate and free of rough or sharp edges. There are pack-and-plays or sleeping mats available for children to nap on. Sleeping mats are provided from home and taken back once a week for cleaning. LPA observed pack-and-plays to be in good repair. Mattresses are fitted with tight-fitted sheets. LPA advised that napping infants be placed in rooms such that the Licensee does not have to leave the doors wide open to see them. Licensee stated that they understood. The facility provides snacks and lunch for children in care.


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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2025
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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BEYKPOUR, NAIMA
FACILITY NUMBER: 214200021
VISIT DATE: 02/10/2025
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LPA observed the Backyard to be free of debris and other loose articles. There are age-appropriate toys and equipment available for children to use. Play structures are cushioned with woodchips. The Backyard is enclosed by a fence that is at least four feet high. There are no swimming pools or other similar bodies of water present in the facility. Per Licensee, there are no firearms or weapons stored in the facility.

LPA reviewed two staff files, six children’s files, and facility records. Licensee’s Pediatric First Aid/CPR is current and expires 7/2025. Licensee’s Mandated Reporter Training is current and expires 1/2026. LPA observed children’s files to be complete. LPA verified that infant sleeping logs are maintained and documented every 15 minutes. LPA advised that required postings such as the facility license, Emergency Disaster Plan, and Notification of Parent’s Rights be posted in an area visible to parents during drop-off. Licensee stated that they understood. The facility last conducted an emergency drill on 1/20/2025. Emergency drills are properly logged and documented. LPA verified that the facility’s contact information is current and updated during the visit.

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.

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.





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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BEYKPOUR, NAIMA
FACILITY NUMBER: 214200021
VISIT DATE: 02/10/2025
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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.

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/.

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

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

No deficiencies were cited during today’s visit on 2/10/2025. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Naima Beykpour.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
LIC809 (FAS) - (06/04)
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