<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274417018
Report Date: 08/20/2025
Date Signed: 08/20/2025 10:55:50 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/05/2025 and conducted by Evaluator Andy Yang
COMPLAINT CONTROL NUMBER: 07-CC-20250805131453
FACILITY NAME:SAFI, NADIAFACILITY NUMBER:
274417018
ADMINISTRATOR:NADIA SAFIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 786-6924
CITY:EAST GARRISONSTATE: CAZIP CODE:
93933
CAPACITY:14CENSUS: 8DATE:
08/20/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nadia SafiTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Criminal Clearance - Uncleared adult caring and supervising daycare child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/20/2025, Licensing Program Analyst (LPA) Andy Yang conducted an unannounced complaint investigation. LPA met with Licensee, Nadia Safi to deliver the complaint allegation of Uncleared Adult Caring and Supervising Daycare Children. Present for today’s inspection were Licensee, (1) staff, and (8) children (2 infants and 6 preschool age).

Based on interviews and a review of documentation, it was determined that on August 5, 2025, the licensee allowed an adult staff member to be present at the facility during day care operating hours without having transferred their criminal record clearance under the facility, as required, prior to having contact with children in care. The individual had interactions with children during this time. The adult staff member intended to serve as a full-time child care assistant, Monday through Friday, but resigned after only one day of employment.

***Continue Page 2***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Andy Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
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 4
Control Number 07-CC-20250805131453
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SAFI, NADIA
FACILITY NUMBER: 274417018
VISIT DATE: 08/20/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
***Page 2***
Based on LPA’s observation and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED California Code of Regulations, Title 22 102370 (d)(2), are being attached on the LIC 9099D.

LPA Andy Yang informed licensee, Nadia Safi, that this report dated 8/20/2025 document one (1) Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Andy Yang informed the licensee to provide a copy of this licensing report dated 8/20/2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A civil penalty of $100 per day is hereby assessed for a period of 8/05/2025 through 8/05/2025 for the amount totaling $100 for max of (1) day first offense (refer to LIC421BG).


A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided.



Exit interview conducted and report was reviewed with the Licensee, Nadia Safi.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Andy Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 07-CC-20250805131453
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SAFI, NADIA
FACILITY NUMBER: 274417018
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/20/2025
Section Cited
CCR
102370(d)(2)
1
2
3
4
5
6
7
(d) All individuals subject to a criminal record review pursuant to... 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (2)Request a transfer of a criminal record clearance.
This evidence was not met by:
1
2
3
4
5
6
7
By Plan of Correction due date of 8/21/2025, Licensee will provide statement of understanding that prior to employment, adult staff will need criminal clearance and required documentation to be present during day care hours with children in care.
8
9
10
11
12
13
14
Based on observations, interviews and record reviews, an adult staff was present during daycare hours without criminal record clearance transferred under the facility which poses an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Andy Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/05/2025 and conducted by Evaluator Andy Yang
COMPLAINT CONTROL NUMBER: 07-CC-20250805131453

FACILITY NAME:SAFI, NADIAFACILITY NUMBER:
274417018
ADMINISTRATOR:NADIA SAFIFACILITY TYPE:
810
ADDRESS:13941 SHERMAN BOULEVARDTELEPHONE:
(831) 786-6924
CITY:EAST GARRISONSTATE: CAZIP CODE:
93933
CAPACITY:14CENSUS: 8DATE:
08/20/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nadia SafiTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal RIghts - Licensee yelled at children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/20/2025, Licensing Program Analyst (LPA) Andy Yang conducted an unannounced complaint investigation. LPA met with Licensee, Nadia Safi to deliver the complaint allegation of Licensee yelled at children in care. Present for today’s inspection were Licensee, (8) children (2 infants & 6 preschool age).

Based on interviews conducted and observations, there was no indication that the Licensee yelled at children in care. No reports were made regarding the use of an elevated voice or any yelling that would constitute a violation of the personal rights of children in care.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violationdid or did not occur, therefore the allegation is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided.
Exit interview conducted and report was reviewed with the Licensee, Nadia Safi.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Andy Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4