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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101174
Report Date: 05/11/2023
Date Signed: 05/11/2023 04:30:56 PM

Document Has Been Signed on 05/11/2023 04:30 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:NOORZAI, MARIA FAMILY CHILD CAREFACILITY NUMBER:
376101174
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 9CENSUS: 4DATE:
05/11/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Licensee, Maria Noorzai TIME COMPLETED:
03:50 PM
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Licensing Program Analysts (LPAs) Jennifer Lott and Sherylnn Banas conducted an announced Case Management- change of capacity inspection. LPAs were greeted at the front door by licensee, Maria Noorzai and granted entry after identifying themselves and disclosing the purpose of their visit. Translating services were provided by Khadija Noorzai as the licensee's primary language is Dari.

LPAs met with Licensee, Maria Noorzai and discussed the change of capacity. Licensee is looking to increase their capacity from 8 to 14. On 12/16/2022, a fire safety inspection request was sent to the Fire Marshall. Fire Marshall granted the fire clearance for a capacity of fourteen (14) on 12/27/2022.

During today’s visit the LPAs conducted a tour of the facility with the licensee. Based on today’s inspection, no deficiencies are being cited as the facility has been found to be in compliance. LPA will reach out to the Fire Marshall for final approval before issuing the license.

An exit interview was conducted and a copy of this report was reviewed with the licensee, Maria Noorzai. A notice of site visit (LIC 9213) was given and must remain posted for thirty (30) days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 05/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/11/2023
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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