376101515-7-29-2026-51-CC-SMEZ-DWG28R-20260729171047

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376101515
Report Date: 07/29/2026
Date Signed: 07/29/2026 05:15:27 PM

Document Has Been Signed on 07/29/2026 05:15 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 DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	EHSAS, MASOOMA FAMILY CHILD CARE		FACILITY NUMBER:	376101515
ADMINISTRATOR/ DIRECTOR:	MASOOMA EHSAS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 856-8773
CITY:	SANTEE	STATE: CA	ZIP CODE:	92071
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 31	CENSUS: 3	DATE:	07/29/2026
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:20 PM
MET WITH:	Masooma Ehsas		TIME VISIT/ INSPECTION COMPLETED:	05:30 PM

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	On 7/29/2026 at 2:00pm Licensing Program Analyst (LPA) Sharon Mendez arrived at the premises knocked and rang the doorbell several times but there was no answer. LPA called the provider’s phone number and left a voice message. LPA received a call back at 2:13pm from provider stating that she was home and could come back. LPA came back to the facility identified self, disclosed the purpose of the inspection and was granted entry into the facility. LPA conducted an unannounced annual inspection at the facility operated by licensee Masooma Ehsas. Present in the home was the Licensee, her mother-in-law and her 3 minor children. Her husband arrived at 3:11pm. Licensee stated that she nor her children heard knocking on the door or the doorbell. She states her doorbell is not properly working. She stated her phone was on silent and had an infant sleeping that had just left her day care. When LPA arrived there were no daycare children present, but at 2:46 pm 7 daycare children arrived. One more child arrived at 4:15 pm. The 4 bedroom, 3 bathroom , 2 story home was toured and inspected to ensure an environment safe for the care and supervision of children. Licensee accompanied LPA inside and out of the facility during this inspection. Licensee states that she currently has 31 children enrolled at her daycare and provides overnight care for only one child. Licensee provided an updated roster. Licensee’s main language is Farsi, but it is able to communicate well in English. Licensee was offered translations services but declined. Licensee paid overdue fees online during visit. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for childcare is the entire downstairs that includes bedroom 1, bathroom 1, the garage (now converting to on limits during this visit), livingroom, dining room/kitchen and backyard. Off limits areas is the entire upstairs that includes bedrooms 2,3 and master bedroom 4 that has bathroom 3 inside, bathroom 2 in the hall, second living room, and laundry room. Stairs are not barricaded. Leaving the entire upstairs accessible to children. Continue on page 2...

Renesha Askew
Sharon Mendez
	DATE: 07/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

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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Document Has Been Signed on 07/29/2026 05:15 PM - It Cannot Be Edited

Created By: Sharon Mendez On 07/29/2026 at 04:22 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: EHSAS, MASOOMA FAMILY CHILD CARE	FACILITY NUMBER: 376101515
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/29/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(3)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (3) Where children are less than five years old are in care, stairs shall be fenced or barricaded. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in stairs are not barricated which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/28/2026
	Plan of Correction
1 2 3 4	Licensee states her safety gate broke. Licensee states she will replace her safety gate and install properly and submit a photo to the department before the plan of correction due date.

Type B

Section Cited

CCR

102425(b)

Infant Safe Sleep

(b) Cribs or play yards shall be free from all loose articles and objects. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in Crib had pillows and loose objects which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/28/2026
	Plan of Correction
1 2 3 4	Licensee removed the items during visit. Licensee was reminded of safe sleep regulations. Licensee states she will comply moving forward.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Renesha Askew
NAME OF LICENSING PROGRAM MANAGER:

	Sharon Mendez
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/29/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

LIC809 (FAS) - (06/04)

Page: 3 of 8

Document Has Been Signed on 07/29/2026 05:15 PM - It Cannot Be Edited

Created By: Sharon Mendez On 07/29/2026 at 04:22 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: EHSAS, MASOOMA FAMILY CHILD CARE	FACILITY NUMBER: 376101515
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/29/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(j)(1)

Infant Safe Sleep

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in Licensee states she keeps her log in a notebook but was not able to provide sleep logs during visit for infants which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/28/2026
	Plan of Correction
1 2 3 4	Licensee will provide sleep logs to the department to review before the due date. Licensee was reminded of safe sleep regulations and she states she will maintain then accessible them moving forward.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in MR Training expired on 6/6/2025 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/28/2026
	Plan of Correction
1 2 3 4	Licensee states she will have her and her helper renew their certificates and submit the completion to the depto. before the due date and moving forward they will set reminder to stay in compliance.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Renesha Askew
NAME OF LICENSING PROGRAM MANAGER:

	Sharon Mendez
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/29/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

LIC809 (FAS) - (06/04)

Page: 4 of 8

Document Has Been Signed on 07/29/2026 05:15 PM - It Cannot Be Edited

Created By: Sharon Mendez On 07/29/2026 at 04:22 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: EHSAS, MASOOMA FAMILY CHILD CARE	FACILITY NUMBER: 376101515
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/29/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in both the licensee and helper have current online certificates but are not valid to the depto.which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/28/2026
	Plan of Correction
1 2 3 4	Licensee states she and her helper will renew certificates and submit proof of completion before the POC due date.

Type B

Section Cited

CCR

102416.1(a)

Personnel Records

(a) Personnel records shall be maintained on each employee and shall contain the following information: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in licensee has No file for helper which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/28/2026
	Plan of Correction
1 2 3 4	Licensee states she will put together a file for hwer helper and submit before POC due date. Moving forward she'll keeo it updated.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Renesha Askew
NAME OF LICENSING PROGRAM MANAGER:

	Sharon Mendez
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/29/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

LIC809 (FAS) - (06/04)

Page: 5 of 8

Document Has Been Signed on 07/29/2026 05:15 PM - It Cannot Be Edited

Created By: Sharon Mendez On 07/29/2026 at 04:22 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: EHSAS, MASOOMA FAMILY CHILD CARE	FACILITY NUMBER: 376101515
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/29/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102419(b)

Admission Procedures and Authorized Representatives Rights

(b) The licensee shall post the PUB 394 (8/02), Family Child Care Home Notification of Parents’ Rights Poster in a prominent, publicly accessible area in the family child care home at all times children are in care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above inLicensee does not have parents rights posted which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/28/2026
	Plan of Correction
1 2 3 4	Licensee states she will submit photo of the PUB 394 posted before POC due date. Licensee states she will keep it posted moving forward.

Type B

Section Cited

CCR

102419(d)

Admission Procedures and Parental and Authorized Representative's Rights

(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation record review, the licensee did not comply with the section cited above in Childrens files are incomplete which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/28/2026
	Plan of Correction
1 2 3 4	Licensee states she will review her files and have them updated and submit proof of completion to the department before due date. Licensee states with the checklist provided she will keep herself organized moving forward.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Renesha Askew
NAME OF LICENSING PROGRAM MANAGER:

	Sharon Mendez
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/29/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

LIC809 (FAS) - (06/04)

Page: 6 of 8

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: EHSAS, MASOOMA FAMILY CHILD CARE	FACILITY NUMBER: 376101515
	VISIT DATE: 07/29/2026

NARRATIVE

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The licensee has sufficient toys and equipment available. The home has a fenced back yard available for outdoor activities. A designated isolation area is available should a child become ill during the day.

The fire extinguisher, smoke detector, and carbon monoxide detector were tested met requirements and are operational during this visit. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water in the home. Licensee states that there are no weapons in the home. First Aid and CPR certifications are current but taken online, they need to be EMSA approved and taken in person. Licensee has required immunizations. Licensee completed mandated reporter training on 6/6/2023 and is now expired. Children’s and Staff records were reviewed and found to be incomplete.

Provider is hereby reminded of the following; Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer.

The licensee owns the property.

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-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for and removing any 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 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.

Continue on page 3...

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Sharon Mendez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

LIC809 (FAS) - (06/04)

Page: 8 of 8

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: EHSAS, MASOOMA FAMILY CHILD CARE	FACILITY NUMBER: 376101515
	VISIT DATE: 07/29/2026

NARRATIVE

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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.

See LIC809D for deficiencies cited.

LPA provided Licensee with TSP brochure, and advised a TSP referral will be submitted on Licensee’s behalf as a resource.

Exit interview conducted and report was reviewed with the licensee Masooma, Ehsas.

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

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

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.

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Sharon Mendez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

LIC809 (FAS) - (06/04)

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