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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004103
Report Date: 04/17/2026
Date Signed: 04/17/2026 04:02:01 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/16/2026 and conducted by Evaluator Catrina Quimbo
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260416144645
FACILITY NAME:BELALIT, NAJIM SAMIFACILITY NUMBER:
384004103
ADMINISTRATOR:BELALIT, NAJIM SAMIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 805-8165
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94131
CAPACITY:14CENSUS: 2DATE:
04/17/2026
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Marc PeronTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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The licensee was not present during operating hours.
INVESTIGATION FINDINGS:
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On April 17, 2026 at approximately 2:45pm, Licensing Program Analysts (LPAs) Quimbo and Ly conducted an unannounced, complaint visit to the licensed home. LPAs met with facility representative, Marc Peron, and explained the purpose of the visit.

Present during visit included 2 preschool age children. LPA observed facility representative to have fingerprint clearance on file and is associated to facility number. Facility is currently closed for Spring Break vacation. Per facility representative, children present are for a camp program.

During today’s visit, licensee, Najim Sami Belalit, was not present. As of February 2026, LPA had visited home three times. Licensee was not present two of the three visits. LPA was informed that licensee was in France during LPA’s previous visits. Deficiencies were issued due to licensee not meeting regulation that licensee’s temporary absence cannot exceed 20% of operating hours a day. Licensee informed LPA that facility’s last day of operation will be April 20, 2026. Licensee requested permanent closure, effective April 21, 2026.
(Continue report on page 2...)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 05-CC-20260416144645
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: BELALIT, NAJIM SAMI
FACILITY NUMBER: 384004103
VISIT DATE: 04/17/2026
NARRATIVE
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(Continued, Page 2...)
Based on observations, interviews and record review which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

LPA issued a Type B deficiency for licensee not being present during operating hours. Licensee has informed LPA that licensee will be permanently closing facility.

Refer to 9099D for more information. Appeal rights were provided.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Marc Peron.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 05-CC-20260416144645
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BELALIT, NAJIM SAMI
FACILITY NUMBER: 384004103
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/17/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/20/2026
Section Cited
CCR
102417(a)
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102417 Operation of a Family Child Care Home (a) The licensee shall be present in the home…When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
This requirement was not met as evidenced by:
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LPA has issued multiple deficiencies for licensee not meeting regulation. Licensee requested permanent closure, effective April 21, 2026. Via email, licensee stated physical license will be submitted to San Bruno Regional office week of April 20, 2026.
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Based on observation, interview and record review, the licensee did not comply with the section cited above. Licensee is currently in France. Licensee was not present during LPA’s previous visits and is not present during today’s visit, which poses a potential, health, safety or personal rights risk to children in care.
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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.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3