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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376103114
Report Date: 02/10/2026
Date Signed: 02/10/2026 02:37:48 PM

Document Has Been Signed on 02/10/2026 02:37 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:WAHEDI, ZOHRA FAMILY CHILD CAREFACILITY NUMBER:
376103114
ADMINISTRATOR/
DIRECTOR:		ZOHRA WAHEDIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
6194511484
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/10/2026
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:27 PM
MET WITH:Applicant, Zohra WahediTIME VISIT/
INSPECTION COMPLETED:
02:35 PM
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On 2/10/26, at 1:27 PM, Licensing Program Manager (LPM) Keturah Lane, and Licensing Program Analyst (LPA) Evelyn Reyes conducted an office meeting with applicant, Zohra Wahedi. Also present was applicant’s cousin, Ahmad Hamid Shorish, who came to assist applicant with translation in Dari. LPA Mahjoba Mohsini joined via Teams to also assist with translation in Dari. The purpose of this meeting is to discuss Zohra Wahedi’s recent submission of an application for a change of location large Family Child Care License and to review and discuss Health and Safety Code and Title 22 Regulations prior to licensure to ensure their understanding and compliance with Regulatory Requirements.

Zohra Wahedi submitted a lease agreement and landlord consent (LIC9149) as part of the application packet. On 1/26/26, LPA Reyes conducted a Pre-Licensing inspection at the home, however additional corrections were needed to make the off-limit areas, stairs and second floor inaccessible. During final file review, LPM Lane requested lease be verified with landlord. On 1/28/26 LPA Reyes called/e-mailed the landlord, Ryan Beilharz, who verified the lease as accurate, however stated that he did not sign the landlord consent form (LIC9149). Mr. Beilharz stated that the signature was not his and the name was misspelled as “Rayan Beihrz”. LPA requested applicant come in for office meeting to discuss the discrepancies with the LIC9149 Landlord consent form and scheduled the meeting for 2/10/26. Continue on page 2.

NAME OF LICENSING PROGRAM MANAGER: Keturah Lane
NAME OF LICENSING PROGRAM ANALYST: Evelyn Reyes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2026
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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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: WAHEDI, ZOHRA FAMILY CHILD CARE
FACILITY NUMBER: 376103114
VISIT DATE: 02/10/2026
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Licensee’s previous landlord of facility #376102258 also confirmed on 11/14/25 that the signature on the LIC9149 consent form was not signed by any of their representatives and stated they did not consent to the Licensee having more than 6 children.

During today’s office meeting, applicant Zohra Wahedi stated her husband took the Form LIC 9149 Landlord Consent form, which was checked as a Small Family Child Care Home Capacity to the property manager Ryan Beliharz and he signed it. LPM stated we verified with Ryan Beliharz and stated that he did not sign it. Zohra then stated her husband is the one who went to take the form to sign it and she was not present and perhaps the Assistant Manager signed it. Zohra also stated when she was asked to get the Form LIC 9149 Landlord Consent for the application to Increase Capacity to a Large License her husband took the form to the property manager and they refused to sign it. Declaration above was obtained during the visit.

LPM explained that providing unverifiable or false documents to the Department may result in denial of her application.

During today's meeting the Department discussed and provided the below Laws and Regulations:

102352(l) Definitions: (2) "Licensee" means an adult licensed to operate a Family Day Care Home and who is primarily involved in providing care for the children during the hours that the home provides care.

102391 Inspection Authority: (a) Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation of, the regulations adopted by the Department governing family child care homes, and in accordance with Section 102396. Continue on page 3.

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

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
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: WAHEDI, ZOHRA FAMILY CHILD CARE
FACILITY NUMBER: 376103114
VISIT DATE: 02/10/2026
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Health & Safety Code 1596.885: The department may deny an application for or suspend or revoke any license, registration, or special permit issued under this act upon any of the following grounds and in the manner provided in this act: (a) Violation by the licensee, registrant, or holder of a special permit of this act or of the rules and regulations promulgated under this act. (b) Aiding, abetting, or permitting the violating of this act or of the rules and regulations promulgated under this act. (c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. (d) The conviction of a licensee, or other person specified in Section 1596.871, at any time before or during licensure, of a crime as defined in Section 1596.871. (e) Engaging in acts of financial malfeasance concerning the operation of a facility, including, but not limited to, improper use or embezzlement of client moneys and property or fraudulent appropriation for personal gain of facility moneys and property, or willful or negligent failure to provide services for the care of clients.

Health & Safety Code 1596.8897:

(a) The department may prohibit any person from being a member of the board of directors, an executive director, or an officer of a licensee or a licensee from employing, or continuing the employment of, or allowing in a licensed facility, or allowing contact with clients of a licensed facility by, any employee, prospective employee, or person who is not a client who has:

(1) Violated, or aided or permitted the violation by any other person of, any provisions of this chapter or of any rules or regulations promulgated under this chapter.

(2) Engaged in conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility, or the people of the State of California.

(4) Engaged in any other conduct that would constitute a basis for disciplining a licensee. Continue on page 4.

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

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
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: WAHEDI, ZOHRA FAMILY CHILD CARE
FACILITY NUMBER: 376103114
VISIT DATE: 02/10/2026
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Applicant was also provided with the CDSS Child Care Licensing (CCL) Family Child Care Providers Resource link with instructional videos: https://ccld.childcarevideos.org/family-child-care-providers/. It is recommended for Licensee to review the video including, but not limited to: “Is Family Child Care the Right Business for Me?”, “Child Care Reporting Requirements”, “Community Care Licensing Inspection Authority”, and “How Many Children Can Attend a Family Child Care Home?”

Applicant was advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates and regulation. During meeting applicant was provided the Duty Line: 619-767-2248.

Department provided and reviewed all the above references with the applicant during today’s meeting. Applicant Zohra Wahedi and Ahmad Hamid Shorish state their understanding of the above as well as their need to abide by Health and Safety Code and Title 22 Regulations in the operation of their Family Child Care Homes, if licensed.

Exit interview conducted and report was reviewed with applicant Zohra Wahedi through translation by LPA Mahjoba Mohsini. Applicant states she understood the report and was provided with a copy at the conclusion of the meeting.

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

DATE: 02/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2026
LIC809 (FAS) - (06/04)
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