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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101616
Report Date: 02/12/2024
Date Signed: 02/14/2024 08:24:45 AM

Document Has Been Signed on 02/14/2024 08:24 AM - 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:ZAREI, MARYAM FAMILY CHILD CAREFACILITY NUMBER:
376101616
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
02/12/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Maryam ZareiTIME COMPLETED:
11:35 AM
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On February 12, 2024, at 9:34 am., Licensing Program Analysts (LPAs), Renita Rodriguez and Selina Siao, conducted an unannounced Case Management Inspection for the purpose of a change of the areas that are off limits in the licensee’s home. Licensee has requested this change. LPA was greeted at the front door by Farhad Hassani, licensee spouse. Also present in the home was Licensee Maryam Zarei. LPAs were granted entry after showing badges and identifying themselves and disclosing the purpose of the visit. The census today is 2 infants at the upstairs day care playroom. The home was toured and inspected for compliance. Licensee is currently using the following areas for daycare: upstairs playroom, upstairs hallway bathroom and upstairs balcony. Licensee is requesting to move the daycare from the upstairs area to the first floor of the Licensee home. The 1st floor areas to be used are the family room, living room, bedroom (play and nap room) and bathroom. Off limit areas will now include the entire 2nd floor, kitchen, dining room, laundry room and garage. The children are provided a safe, healthy, and comfortable environment, furnishings, and equipment.

LPAs observed a swimming pool located in the back yard. The fence was measured and was found to be 5 feet 2 inches in some areas and other areas measured at exactly 5 feet in height. The openings of the fence are more than 4 inches in some areas, and this will need to be corrected. The dining room is off limits and will need to be made inaccessible.

LPAs tested the smoke alarm and carbon monoxide detectors located on the 1st floor were found to be operable. There is a fire extinguisher size 2A10BC that meets regulations. Licensee stated there are no weapons or ammunition stored on the premises.

Fireplace located in the living room is inaccessible. Fireplace located in family room is inaccessible. Storage for poisons, detergents, cleaning solutions, medications are out of reach, in off limit areas, and inaccessible to children by latches and doorknob covers.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2024
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 DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ZAREI, MARYAM FAMILY CHILD CARE
FACILITY NUMBER: 376101616
VISIT DATE: 02/12/2024
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There are sufficient toys and equipment available. The outdoor play area will be taking place in an enclosed fenced area located directly outside of the play and nap room. Licensee is reminded constant visual supervision is required due to the layout of the home and the pool. The home is kept clean and orderly with heating and ventilation for safety and comfort. Licensee’s Pediatric CPR and First Aid card will expire 6/14/2024. Mandated Reporter training certificate expires 1/26/25. Licensee is using cell phone to meet requirements. Required documents are posted.

All adults listed as living in the home have received criminal background clearances. Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

The following correction is required:

  • Security gate needed in the living room to make the dining room and kitchen inaccessible.
  • Security gate needed at the bottom of the stairs.
  • Licensee needs to ensure that the gaps in the iron fence are 4 inches or less.
  • Safety latch for the sliding glass door to prevent opening more than 4 inches.

Licensee shall submit corrections to LPA within 14 days and a follow up visit will be conducted prior to approval for change. Exit interview conducted and report was reviewed with the licensee Maryam Zarei.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2024
LIC809 (FAS) - (06/04)
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