376102801-8-21-2026-51-CC-ASUD-DX6RT2-20260821131736

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376102801
Report Date: 08/21/2026
Date Signed: 08/21/2026 01:18:02 PM

Document Has Been Signed on 08/21/2026 01:18 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:	KHALILI, BIBI ZOHRA FAMILY CHILD CARE		FACILITY NUMBER:	376102801
ADMINISTRATOR/ DIRECTOR:	BIBI ZOHRA KHALILI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 415-6060
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY: 12	TOTAL ENROLLED CHILDREN: 22	CENSUS: 0	DATE:	08/21/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Bibi Zohra Khalili		TIME VISIT/ INSPECTION COMPLETED:	01:45 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 08/21/2026 at 9:30 am, Licensing Program Analyst (LPA) Annette Sutherland conducted an unannounced annual inspection with the Licensee. Upon arrival, LPA met with Licensee Bibi Zohra Khalili. Also present in the home was the Licensee’s husband, Sayed Rohullah Kazimi. The one-story, three-bedroom, one-bathroom home was toured and inspected to ensure an environment safe for the care and supervision of children. There were no children in care at the time of the inspection.The Licensee has provided adequate space for children to eat, sleep, and play within the home. Areas used for child care include the entire home: three bedrooms, one bathroom, living room, kitchen, and backyard. The Licensee has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities. The Licensee understands that supervision is always required during outdoor activities.The fire extinguisher, smoke detector, and carbon monoxide detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property. The Licensee stated that there are no weapons in the home. The Licensee’s First Aid and CPR certifications are valid through 05/07/2028. The Licensee has the required immunizations. Mandated Reporter Training was completed on 07/24/2025, and the Licensee was reminded that the training must be completed every two years. Children’s and staff records were reviewed and found to be incomplete (see LIC 809D). LPA obtained an updated facility roster and observed that required documents are posted in an area accessible to parents.The Licensee was reminded of the following: report suspected child abuse and neglect; maintain children’s records according to regulations; and post all required forms. Corporal punishment and smoking are not permitted. Exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment used must be used only as intended by the manufacturer. Continued on LIC 809C

Joelle Redding
Annette Sutherland
	DATE: 08/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2026

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 08/21/2026 01:18 PM - It Cannot Be Edited

Created By: Annette Sutherland On 08/21/2026 at 11:27 AM

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: KHALILI, BIBI ZOHRA FAMILY CHILD CARE	FACILITY NUMBER: 376102801
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/21/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(a)(3)

Infant Safe Sleep

(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. The licensee did not have fitted sheets for either of the two cribs in the facility, which posed a potential health, safety, or personal rights risk to persons in care.
	POC Due Date: 08/24/2026
	Plan of Correction
1 2 3 4	The licensee will provide proof to LPA via email that fitted infant sheets have been obtained for the cribs in the facility by 08/24/2026.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above. The licensee’s helper/husband (S1) did not have current mandated reporter training, which posed a potential health, safety, or personal rights risk to persons in care
	POC Due Date: 09/21/2026
	Plan of Correction
1 2 3 4	The licensee will submit proof of S1’s completed mandated reporter training to LPA by 09/21/2026.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Joelle Redding
NAME OF LICENSING PROGRAM MANAGER:

	Annette Sutherland
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/21/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/21/2026 01:18 PM - It Cannot Be Edited

Created By: Annette Sutherland On 08/21/2026 at 11:27 AM

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: KHALILI, BIBI ZOHRA FAMILY CHILD CARE	FACILITY NUMBER: 376102801
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/21/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above. S1 and S2 did not have documentation of completed preventive health practices training, which posed a potential health, safety, or personal rights risk to persons in care.
	POC Due Date: 09/21/2026
	Plan of Correction
1 2 3 4	Licensee will ensure S1 and S2 complete the required preventive health practices training or an approved CPR certification and will submit proof of completion, along with updated and complete helper files, to LPA by 09/21/2026.

Type B

Section Cited

HSC

1597.622(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above. The licensee did not have documentation of the required immunizations for S2, which posed a potential health, safety, or personal rights risk to persons in care
	POC Due Date: 08/24/2026
	Plan of Correction
1 2 3 4	Licensee will obtain and submit documentation verifying that S2 meets the required immunization requirements and will provide proof to LPA by 08/24/2026

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Joelle Redding
NAME OF LICENSING PROGRAM MANAGER:

	Annette Sutherland
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/21/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/21/2026 01:18 PM - It Cannot Be Edited

Created By: Annette Sutherland On 08/21/2026 at 11:27 AM

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: KHALILI, BIBI ZOHRA FAMILY CHILD CARE	FACILITY NUMBER: 376102801
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/21/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102418(g)(1)

Immunizations

(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above. The licensee did not have infant immunizations documented, which posed a potential health, safety, or personal rights risk to persons in care.
	POC Due Date: 08/24/2026
	Plan of Correction
1 2 3 4	The licensee understands that immunization records must be obtained from parents, transposed onto the PM 286, and updated accordingly. The licensee will provide proof of completed and updated immunization records to LPA by 08/24/2026.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Joelle Redding
NAME OF LICENSING PROGRAM MANAGER:

	Annette Sutherland
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/21/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2026

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: KHALILI, BIBI ZOHRA FAMILY CHILD CARE	FACILITY NUMBER: 376102801
	VISIT DATE: 08/21/2026

NARRATIVE

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LPA and the Licensee discussed California Megan’s Law, and LPA provided the website: www.meganslaw.ca.gov. LPA reviewed LIC 311D, Forms/Records to Keep in Your Family Child Care Home, with the Licensee, including children’s forms/records, facility forms/records, and information required to be posted. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The Licensee was reminded that all adults 18 years of age and older who live or work in the home, including employees and volunteers, 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 per day, up to $500.00 maximum per day/per person, will be assessed if this regulation is violated. LPA discussed safe sleep regulations with the Licensee and reviewed 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.The Licensee did not have current safe sleep logs for three infants (See LIC 809D).The Licensee had completed and signed Sleeping Plans (LIC 9227) in the children’s files.The Licensee was informed of the MyChildCarePlan.org website, a consumer education website that helps families obtain child care by connecting them with child care providers and Resource and Referral Agencies (R&Rs) throughout California. In addition, for general questions or questions regarding licensing requirements, the Licensee may contact the Child Care Licensing Duty Line at (619) 767-2248. Incidental Medical Services (IMS) policy was discussed. For IMS information, see the Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes, Section 102417. When IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding the Americans with Disabilities Act (ADA) was provided: U.S. Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) / (800) 514-0383 (TTY), and the publication Commonly Asked Questions About Child Care Centers and the ADA, available at http://www.ada.gov/childqanda.htm. See LIC 809D for deficiencies cited.Failure to make corrections will result in re-citation and/or civil penalties.An exit interview was conducted, and the report was reviewed with the Licensee. During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility. A Notice of Site Visit was given and must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Joelle Redding
NAME OF LICENSING PROGRAM ANALYST: Annette Sutherland
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/21/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2026

LIC809 (FAS) - (06/04)

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