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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416877
Report Date: 10/08/2025
Date Signed: 10/08/2025 05:59:16 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/19/2025 and conducted by Evaluator Linke Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250919151438
FACILITY NAME:JAFARNEJAD, ZHI LINGFACILITY NUMBER:
434416877
ADMINISTRATOR:ZHI LING JAFARNEJADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 637-0963
CITY:SAN JOSESTATE: CAZIP CODE:
95124
CAPACITY:14CENSUS: 11DATE:
10/08/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Zhi Ling JafarnejadTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Licensee does not reside in the home where child care is provided
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kate Huang conducted an unannounced complaint investigation at the facility. Upon arrival, the licensee was not present; however, she returned around 09:50 a.m. LPA explained the purpose of the visit.

During the investigation, LPA toured the indoor and outdoor areas of the facility and conducted interviews with the licensee and staff. During the time of the visit, there were 11 children in care, including 4 infants, with the licensee and four staff members present. LPA observed one staff member (S1) sleeping in a bedroom. Both S1 and the licensee stated that S1 has been living at the facility for one month. The licensee stated that she allowed the teacher to sleep in her bedroom, and therefore, she herself had not been living in the facility for one month. The other two bedrooms in the facility are used for daycare purposes.

Based on the available evidence, the preponderance of evidence standard has been met and therefore the above allegation is Substantiated.

Exit interview was conducted, where the report was reviewed and discussed with Licensee Zhi Ling Jafarnejad in Mandarin. A notice of site visit has been issued and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Linke Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
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 07-CC-20250919151438
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: JAFARNEJAD, ZHI LING
FACILITY NUMBER: 434416877
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/22/2025
Section Cited
HSC
1596.78(a)
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§1596.78 “Family day care home”
(a) "Family day care home" means a home that regularly provides care, protection, and supervision for 14 or fewer children, in the provider's own home, for periods of less than 24 hours per day, while the parents or guardians are away, and is either a large family day care home or a small family day care home.
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Licensee to provide a plan of correction to ensure that she resides at the facility by the POC due date.
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This requirement is not met as evidenced by:
Based on LPA's observation and interviews, the licensee did not comply with the section cited above because licensee admitted that she had not lived at the facility for one month, which poses a potential health, safety or personal rights risk to persons 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: Gladys Kuizon
LICENSING EVALUATOR NAME: Linke Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2025
LIC9099 (FAS) - (06/04)
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