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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376102385
Report Date: 05/29/2026
Date Signed: 05/29/2026 01:32:55 PM

Document Has Been Signed on 05/29/2026 01:32 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:SAYED, ZUHRA FAMILY CHILD CAREFACILITY NUMBER:
376102385
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
05/29/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Licensee, Zuhra SayedTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On 05/29/2026 at 9:10 a.m., Licensing Program Analyst (LPA) Evelyn Reyes conducted an unannounced annual and capacity increase inspection with the Licensee, Zuhra Sayed. LPA identified self, disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Present in the home were two of her minor children (school age). Shafiq Rahman Rahmani (spouse/translator in Dari language) arrived at approx...10:27 am. Licensee has 8 children enrolled, 1 is under 24 months. The 2-story home was toured and inspected to ensure an environment safe for the care and supervision of children. Licensee, Zuhra Sayed accompanied LPA inside and out of the facility during this inspection. Business hours are Mon-Fri 7:30 am – 10:00 pm.

Licensee, Zuhra Sayed has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include 1st floor living room, dining room, bedroom 1 and bathroom 1. Off limits areas include entire 2nd floor, and patio and are inaccessible through use of gate/barricade/doorknob cover/screw lock/latches/high latches. The Licensee, Zuhra Sayed, has sufficient toys and equipment available. Additional age appropriate toys were recommended. Licensee stated she takes the children to the nearby park for outdoor activities and visually supervises them. Licensee stated staff ensures ill children remain separated. Continue on page 2

NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Evelyn Reyes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/29/2026
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 05/29/2026 01:32 PM - It Cannot Be Edited


Created By: Evelyn Reyes On 05/29/2026 at 12:27 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: SAYED, ZUHRA FAMILY CHILD CARE
FACILITY NUMBER: 376102385

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/29/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 sleep log for infant in care which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/26/2026
Plan of Correction
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LPA Reyes discussed with Licensee, Zuhra Sayed, that she checks on infants every 15 mins while they sleep but is not documenting it. Zuhra stated she will begin to document every 15 minutes the observations of the infants while they sleep and will send LPA copies of sleep logs at the Regional Office or via email before or by 06/29/26.
Type B
Section Cited
CCR
102417(g)(7)
Operation of A Family Child Care Home
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in 8 out of 8 children's emergency records which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/26/2026
Plan of Correction
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Zuhra stated she will obtain and maintain these emergency forms from the parents/authorized representatives beginning today 05/29/26 26 and will send LPA copies at the Regional Office or via email before or by 06/29/26.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Keturah Lane
NAME OF LICENSING PROGRAM MANAGER:
Evelyn Reyes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/29/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/29/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/29/2026 01:32 PM - It Cannot Be Edited


Created By: Evelyn Reyes On 05/29/2026 at 12:27 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: SAYED, ZUHRA FAMILY CHILD CARE
FACILITY NUMBER: 376102385

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/29/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in 1 out of 1 infant sleep plan for infant in care which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/26/2026
Plan of Correction
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Zuhra stated she will obtain and complete these forms beginning today 05/29/26 and will send LPA copies at the Regional Office or via email before or by 06/29/26.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Keturah Lane
NAME OF LICENSING PROGRAM MANAGER:
Evelyn Reyes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/29/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/29/2026


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: SAYED, ZUHRA FAMILY CHILD CARE
FACILITY NUMBER: 376102385
VISIT DATE: 05/29/2026
NARRATIVE
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The fire extinguisher located in the kitchen, smoke detector located in the kitchen, carbon monoxide detector located in the kitchen, and fire alarm located in the living room meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There is no fireplace. There is a community pool on the property. Licensee, Zuhra Sayed, stated that there are no weapons in the home.

First Aid and CPR certifications expire 11/26/2026. Licensee has required immunization's. Applicant is exempt from Mandated Reporter Training requirement due to Dari is her primary language. Childrens’ records were reviewed and found not to be in order. LPA Reyes discussed with Licensee, Zuhra Sayed, that she shall obtain and maintain for each child an emergency information card. LPA Reyes observed blank forms. Zuhra stated she will obtain and maintain these forms from the parents/authorized representatives beginning today 05/29/26 26 and will send LPA copies at the Regional Office or via email before or by 06/29/26. LPA Reyes discussed with Licensee, Zuhra Sayed, that the children's immunizations need to be updated on PM 286 form. LPA Reyes observed blank forms. Zuhra stated she will begin to update the immunizations. LPA Reyes discussed with Licensee, Zuhra Sayed, that at time of acceptance of each child into care she shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights form LIC 995E, the Caregiver Background Check Process form LIC 995E, and the Family child Care Consumer Awareness Information form LIC 9212. Zuhra stated she will provide these forms to the parents/authorized representatives beginning today 05/29/26.

Emergency exit routes were clear of obstructions. There is an additional exit to accommodate a large license. Postings were posted in the main child care room. Licensee, Zuhra Sayed, stated she has not conducted a fire and disaster drill at least once every six months. Licensee, Zuhra Sayed, stated she will conduct and document the fire and disaster drills at least every six months beginning today 05/29/26. Continue on page 3.

NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Evelyn Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
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: SAYED, ZUHRA FAMILY CHILD CARE
FACILITY NUMBER: 376102385
VISIT DATE: 05/29/2026
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/.

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.

Licensee, Zuhra Sayed, 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.

LPA discussed the safe sleep regulations with Licensee, Zuhra Sayed, and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed Licensee, Zuhra Sayed, 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.

Continue on page 4.

NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Evelyn Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
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: SAYED, ZUHRA FAMILY CHILD CARE
FACILITY NUMBER: 376102385
VISIT DATE: 05/29/2026
NARRATIVE
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LPA Reyes discussed with Licensee, Zuhra Sayed, that she shall have an Individual Infant Sleeping Plan form LIC 9227 completed for each infant up to 12 months of age in care at the facility. LPA Reyes observed blank forms. Zuhra stated she will obtain and complete these forms beginning today 05/29/26 and will send LPA copies at the Regional Office or via email before or by 06/29/26. LPA Reyes discussed with Licensee, Zuhra Sayed, that she checks on infants every 15 mins while they sleep but is not documenting it. LPA Reyes observed a safe sleep log in the provider packet LPA Montesa provided to her during the pre licensing phase of the licensing process via email that Zuhra shared with LPA Reyes to view from her phone and a printed copy she had available on hand. Zuhra stated she will begin to document every 15 minutes the observations of the infants while they sleep and will send LPA copies of sleep logs at the Regional Office or via email before or by 06/29/26.

The Licensee, Zuhra Sayed, has not obtained a signed Property Owner/Landlord Consent form (LIC 9149). Without this consent, the applicant understands that, once licensed, they can operate with a maximum capacity of 6 children. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee of $25, to increase the capacity and provide care to 8 children.

Applicant 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.

Licensee, Zuhra Sayed, stated they are registered to receive Provider Information Notices (PINs). LPA discussed and provided Licensee with the following: child care advocates-email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248. Continue on page 5.

NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Evelyn Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
LIC809 (FAS) - (06/04)
Page: 10 of 11
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: SAYED, ZUHRA FAMILY CHILD CARE
FACILITY NUMBER: 376102385
VISIT DATE: 05/29/2026
NARRATIVE
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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.

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

FIRE CLEARANCE WAS GRANTED ON 04/30/2026

The following corrections are required prior to the approval of an Increase of Capacity:

· Children's Roster


· Children's Records
· Infant Sleep Plan
· Infant Sleep Logs
· Emergency Drills conducted and recorded

Exit interview conducted and report was reviewed with the Licensee, Zuhra Sayed.

A Notice of Site Visit was given and must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Evelyn Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026
LIC809 (FAS) - (06/04)
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