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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417382
Report Date: 03/27/2024
Date Signed: 03/29/2024 02:54:05 PM

Document Has Been Signed on 03/29/2024 02:54 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SALARI, SOHEILAFACILITY NUMBER:
434417382
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
03/27/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Soheila SalariTIME COMPLETED:
12:30 PM
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Licensing Program Analyst(LPA) Anna Morales conducted an Unannounced Case Management-Licensee Initiated inspection. LPA was greeted by Licensee and her staff. Present were a total of five children( two infants and three preschool aged children).
Licensee has requested an increase of capacity from a small family day care(8) to a large family day care(14 children, no more than 3 infants, and 1 child in kindergarten or elementary school and 1 child at least age 6.) Fire clearance was granted on 3/20/24.
Last disaster drill was conducted on 1/3/2024. Hours of operation is 7:30am- 6:00pm, Monday- Friday.

LPA inspected the indoor and outdoor areas of the home. The Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the children in care. The home is orderly, and safe for the day care children. This is a two story home and LPA observed a barricade in front of the stairs. The fire place inside the living room is also barricaded. The off limit areas inside the home are: the entire second floor, the front living/dining room, kitchen and the garage. The off limits outside the home are: the left side of the back yard.

LPA observed a enclosed playground with age appropriate toys. Licensee stated that she will place absorbing material underneath the climbing structure that is connected to the swing set. LPA observed a fully charged 3A-40BC fire extinguisher, working smoke, and carbon monoxide detectors. LPA did not observe a body of water. The Licensee states that she does not have any weapons in the home. All detergents, cleaning compounds, poisons, medications, and other similar items are out of reach and inaccessible to children.

(Continue on LIC809C).
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SALARI, SOHEILA
FACILITY NUMBER: 434417382
VISIT DATE: 03/27/2024
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LPA reviewed large family child care home (FCCH) capacity requirements with the Licensee. LPA advised that there should never be more than four infants (children under two years of age) present at the FCCH. If no assistant is present, then the FCCH shall comply with the capacity requirements for a small FCCH. LPA advised that an assistant shall be at least 14 years old and, if under the age of 18, shall never be left alone with day care children.

No deficiencies cited, exit interview conducted and report was reviewed with the Licensee Sohelia Salaria. LPA Morales explained that the increase of capacity will be granted pending management approval.

A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC809 (FAS) - (06/04)
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