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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376102490
Report Date: 03/10/2025
Date Signed: 03/10/2025 03:53:06 PM

Document Has Been Signed on 03/10/2025 03:53 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:NAZIF, ZIBA FAMILY CHILD CAREFACILITY NUMBER:
376102490
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/10/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Ziba NazifTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 3/10/25 at 2:00 pm, Licensing Program Analyst (LPA) Gerald Poindexter identified himself and disclosed the nature of the visit before being granted entry. LPA Poindexter then conducted an announced pre-licensing inspection. LPA met with applicant Ziba Nazif. Also, present: the applicant’s parents Nazifullah and Malalia Nazif, and three minor siblings. Applicant speaks English; primary language is Pashto. The 3-bedroom, 2-bath, ground-level home was toured and inspected to ensure an environment safe for the care and supervision of children.

Applicant rents the home. Verification of control of property is on file. Because the applicant rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant has obtained a signed Property Owner/Landlord Consent form (LIC9149). Applicant states that they have sufficient financial resources to sustain the license.

Applicant will use the following rooms for childcare: Living room, bathroom #1 and backyard. A portion of the living room is used to care for/separate sick children. Off-limits areas include: All bedrooms, bathroom #2, garage, and kitchen. These areas prevent access through use of safety gates and doorknob covers. Garage is accessed from the backyard, is off limits, and is kept inaccessible using a doorknob cover. There are no stairs in the home.

Applicant has a fully fenced backyard available for outdoor activities. LPA advised that the row of exposed nails at the base of the backyard fence (cinderblock portion) is considered hazardous and must be removed. Applicant advised to provide direct supervision when outside. There are no bodies of water in the home. However, LPA provided Assembly Bill (AB) 2866 (Pellerin), Chapter 745, Statutes of 2024 in order to comply with the pool safety requirements, effective January 1, 2025. CONTINUED ON PAGE 2
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2025
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: NAZIF, ZIBA FAMILY CHILD CARE
FACILITY NUMBER: 376102490
VISIT DATE: 03/10/2025
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There is a working phone at the facility. The fire extinguisher meets 2A10BC requirements. Carbon monoxide detector was not available in the home. The smoke detector was tested and is operational. Poisons, cleaning compounds, medications and other hazardous items were latched/locked and secured out of reach of children. Heating and ventilation equipment were reviewed. Heating/air vents were located near ceiling. Exhaust vent in living room does not transmit hot air. LPA advised applicant that the living room fireplace requires a screen or should be barricaded. Applicant states there are NO firearms, weapons, or ammunition in the home. The applicant has age-appropriate toys and equipment available.

Pediatric CPR and First Aid expire 6/17/25. Preventative health practices course (with lead poison prevention training) completed 6/11/23. Mandated reporter training completed 6/10/23, expires 6/10/25. LPA reminded applicant that CPR/First Aid and Mandated Reporter certifications must be renewed every two years. Staff /resident immunization requirements were met. All required health/safety and facility-related documents were visibly posted.

The applicant 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 reviewed the following resources and information with applicant:
· LIC 311D, Forms/Records to Keep in Your Family Child Care Home, children’s forms/records, facility forms/records, and information required to be posted
· New provider packet, including unusual incident reporting procedures
· Rules related to children’s personal rights, child abuse, and prohibiting of corporal punishment
· Rules prohibiting smoking, walkers, exersaucers, jumpers and bouncy seats. Also, allowed/prohibited uses of car seats.
· Use of all equipment only as intended by the manufacturer
· Shaken Baby Syndrome and SIDS
CONTINUED ON PAGE 3
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025
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: NAZIF, ZIBA FAMILY CHILD CARE
FACILITY NUMBER: 376102490
VISIT DATE: 03/10/2025
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· California Megan's Law and website: www.meganslaw.ca.gov
· COVID-19 and other communicable diseases guidelines and resources
· Provider Information Notices (PINs), Program Quarterly Update Newsletters, and the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe.
· YMCA Resource Center information
· Additional CDSS contact information and provider resources

LPA discussed the safe sleep regulations with the applicant 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 the applicant of the importance of checking for 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers

The following corrections are needed prior to the issuance of the license:
· Install carbon monoxide detector
· Remove the row of exposed nails at the base of the backyard fence (cinderblock portion)
· Screen or barricade the living room fireplace


CONTINUED ON PAGE 4
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025
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: NAZIF, ZIBA FAMILY CHILD CARE
FACILITY NUMBER: 376102490
VISIT DATE: 03/10/2025
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Once all corrections are made and proof is sent to, reviewed and approved by the Department, a license for eight children may be granted upon the final file review. Applicant understands that proof of corrections must be submitted to Licensing within 30 days, by no later than 4/9/25, or the application may be denied. Applicant agreed to comply with all regulations and laws governing family child-care homes.

Exit interview conducted and report was reviewed with the applicant Ziba Nazif. Appeal rights provided.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025
LIC809 (FAS) - (06/04)
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