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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101949
Report Date: 04/17/2024
Date Signed: 04/17/2024 12:50:01 PM

Document Has Been Signed on 04/17/2024 12:50 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:MOSHTAGHSHAHMIRY, TAVOOS FAMILY CHILD CAREFACILITY NUMBER:
376101949
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
04/17/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Tavoos MoshtaghshahmiryTIME VISIT/
INSPECTION COMPLETED:
01:00 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 4/17/24, LPA Gerald Poindexter conducted an announced follow-up Prelicensing inspection. The purpose of this inspection was as a follow up to the pre-licensing inspection of 4/3/24 and to review required corrections. LPA met with applicant, Tavoos Moshtaghshahmiry. LPA has determined that the applicant has:

· Completed the fingerprint/background clearance transfer process
· Installed safety gates at the two entrances to the kitchen
· Installed padding to the front patio surface
· Demonstrated that they have settled into the new home and reside there

These corrections were made to meet regulations and a license for 8 children may be granted after review. Applicant agreed to comply with all regulations and laws governing family child-care homes.

Exit interview conducted and report was reviewed with the applicant Tavoos Moshtaghshahmiry. Appeal Rights and a copy of the report were given.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1