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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434408377
Report Date: 09/28/2023
Date Signed: 09/28/2023 02:24:54 PM


Document Has Been Signed on 09/28/2023 02:24 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 JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:AFJEI, BATOOL & GHOREYSHI, SEYEDFACILITY NUMBER:
434408377
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
09/28/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Batool Afjei and Seyed GhoreyshiTIME COMPLETED:
10:50 AM
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On 09/28/2023 at 9:30AM Licensing Program Analyst (LPA) Farida Raja and Licensing Program Manager (LPM) Gladys Kuizon met with Licensees Batool Afjei and Seyed Ghoreyshi for an Informal Meeting. The pre-scheduled meeting took place at the San Jose Regional Licensing Office.

On 09/15/2023 at 11:10 am, LPA conducted an unannounced facility visit and observed 6 infant children in care. The licensee and 1 assistant (S1) were present. LPA observed daycare activities being conducted in the garage. LPA observed two reclined bouncers in the garage room with an infant (C1) sleeping in one, a bouncer/rocker in the garage living area and baby walker in the on-limit family room. LPA observed that the facility pool's fencing has gaps where the panel connects to the access gate on both sides and between where two panels meet in two separate areas of the fence.

The facility was cited 2 Type A deficiencies and 9 Type B deficiencies during the visit. The facility also has a history of 1 Type A and 10 Type B citations. The purpose of the informal meeting is to review the deficiencies with the Licensees and discuss the plan of corrections submitted by the licensee to ensure licensees understanding of Title 22 violations that led to the deficiencies.

LPM Gladys Kuizon explained the informal meeting and the administrative process. Licensees were advised that continued non-compliance with Title 22 Regulations could result in their license being referred to Community Care Licensing's legal department for review and possible action against the license.

During the meeting, the Licensees was reminded that since there was an issuance of Type A citations, a copy of the Facility Evaluation Report LIC809 has to be posted in the facility and a copy must be given to all parents of current and newly enrolled children for next 12 months. In addition, a copy of LIC9224 Statement Acknowledging Receipt of Licensing Reports needs to be signed and kept in child files.



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SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida RajaTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:
DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/28/2023
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 JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: AFJEI, BATOOL & GHOREYSHI, SEYED
FACILITY NUMBER: 434408377
VISIT DATE: 09/28/2023
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Licensees understands that the facility will be placed under increased monitoring to ensure compliance with Title 22 regulations.

LPM discussed with licensees their plan to bring facility into compliance. LPM and LPA provided visual aids to the Licensee:
  1. Staffing and capacity ratio visual chart.
  2. Copies of required children's forms were provided.
LPM informed licensees to review Child Care Licensing website for important updates to regulations and webinars offered. Licensees stated that they understand and will visit childcare licensing website and review updates. Licensees stated that they have already signed up to receive updates. LPM also informed licensees that their application for increase in capacity will not be approved at this time because of non compliance. LPM advised licensees to work towards bringing the facility into compliance and reapplying for an increase in capacity after proof of compliance with the regulations based on licensing visits.

This report was discussed with and a copy provided to licensees, Batool Afjei and Seyed Ghoreyshi.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida RajaTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023
LIC809 (FAS) - (06/04)
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