On 06/27/2025 @ 11:00 AM, LPA Mahjoba Mohsini conducted an announced visit for the purpose of a pre-licensing inspection. Licensee applied for a change of location and an increase in capacity. Fire clearance is pending.

LPA was greeted at the door by the Licensee Atefa Mirzai. Present also in the home was licensee’s 2 minor children. LPA was granted entry after identifying self and disclosing the purpose of the visit. Entrance Checklist was provided to the Licensee.

Because the Licensee rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the Licensee confirms was provided to the property owner/landlord. The Licensee has obtained a signed Property Owner/Landlord Consent form (LIC9149).

LPA confirmed with that all adults living in the home have been fingerprint cleared and associated with the facility and have met all the immunization requirements. Licensee has provided evidence of the completion of the required 16-hr. Health and Safety training to include a Pediatric First Aid/CPR certificate with ABC, valid through 06/2027. Licensee is exempt from Mandated Reporter training due to language. Licensee speaks Dari.

• 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.

LPA tested the smoke alarm and carbon monoxide (combo type, located in the living room) and was operational. The fire extinguisher (mounted on the wall by the kitchen), is fully charged and meets size requirements. First Aid Kit is located in the hallway cabinet. There is a working telephone, and Parent’s Rights form is posted. The home is kept clean and orderly with adequate heating and ventilation for safety and comfort. Outdoor play will in the fully fenced backyard. There is a sufficient amount of age-appropriate toys, books and games for children, in good condition. LPA reviewed with Form LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

LPA discussed the safe sleep regulations with Licensee and 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 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.

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.

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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

On this date, 06/27/2025, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ. www.meganslaw.ca.gov

Exit interview conducted and report was reviewed with the Licensee. During the exit interview, the Licensee, Atefa Mirzai, confirmed that there are no Registered Sex Offenders living in the facility.

No corrections are required. Upon receipt of the approved fire clearance and final file review, a license for 14 children will be granted and sent for posting.