Routine inspection·December 4, 2025

On 12/04/2025, Licensing Program Analyst (LPA), Jennifer \342\200\234Jen\342\200\235 Beehler, met with Licensee, Shadieh Shahbazi, for an unannounced Annual/Random Inspection. LPA was granted access to the home by the Licensee and toured both indoors and outdoors during the inspection. LPA stated the reason for the visit was to conduct an Annual inspection and complete the process for the facility to be converted to a Large Family Child Care Home (FCCH). Upon arrival, there were three (3) children (infant age), licensee and her mother (Lili) present. This is compliant with the home license capacity and ratio requirements. LPA observed all required postings near the entrance to the home. Hours of operation for the facility are Monday \342\200\223 Friday, 08:00AM-05:00PM. There are no active waivers or exceptions. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. LPA verified all adults present had criminal record clearance and were associated to the facility roster on Guardian. LPA reviewed facility roster (LIC9040) and fire/disaster drill log during today's inspection. The last fire/disaster drill was conducted on 09/16/2025, which is compliant with the six month requirement for homes. LPA observed a fully charged 3A40BC fire extinguisher that was purchased 04/07/2025, which is compliant with State Fire Marshal regulations. Continued on Page 2 LPA reminded licensee of the fire code requirement that the fire extinguisher needs to be serviced every year or replaced. The home had a functioning smoke detector and carbon monoxide detector. The Licensee states that there are no weapons or firearms in the home. Licensee states that she does not currently have any children in care who require Incidental Medical Services and does not administer medication at this time. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/ . Indoor areas of the home were inspected by the LPA today and observed to be clean, orderly, and safe for the day care children. On-limits areas of the home (indoors): 1 bedroom and Family Room, and hall bathroom. There are no open-faced heaters in the home. LPA observed sufficient age-appropriate materials, toys, and play equipment in the home. Furniture, such as tables, chairs, and shelves, are in good condition and safe for children. The bathroom in the home is clean, sanitary, and operable. The Licensee uses her cell phone as a working telephone in the facility. Drinking water is readily available for children in the facility via water dispensers and reusable bottles from home labeled with the children\342\200\231s names. Licensee provides breakfast, lunch and afternoon snack to the children. The backyard area of the home was inspected. LPA observed sufficient play equipment and supplies for the children that are in good condition and age-appropriate. Off-limit areas outside of home include: both side yard areas, front yard and part of the backyard. No outdoor bodies of water were observed during today's inspection. Continued on Page 3 Infant Safe Sleep regulations (PIN 20-24-CCP) were discussed with the Licensee, including the Individual Infant Sleeping Plan (LIC9227). LPA reminded Licensee that infants up to 12 months of age should be placed on their back to sleep, that cribs should be free of all loose articles and hanging objects, and that infants should not be swaddled. Infants should be supervised while sleeping and documentation of sleep checks every 15 minutes should remain in the infant\342\200\231s file. Documentation should include the time of the check, the infant\342\200\231s physical condition, and initials of the staff member checking on the infant. LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. Three (3) children\342\200\231s files (infants) were reviewed during today's inspection and all required documents were present, including Individual Infant Sleep Plan (LIC9227) and sleep check documentation for all infants. Notification of Parents Rights (LIC995A), Consent for Emergency Medical Treatment (LIC627), Identification and Emergency Information (LIC700), Affidavit Regarding Liability Insurance (LIC282), Immunization Records which were recorded on the PM286. LPA observed all children's files to be complete. Licensee file and facility file were reviewed. Criminal Record Statement (LIC508), Statement Acknowledging Requirement to report Child Abuse (LIC9108), Mandated Reporter Training Certificate, and Immunization Record showing immunity MMR, TDAP and Influenza were present. Licensee had a current CPR/First-Aid certification that expires 10/22/2027. The Licensee has current Mandated Reporter Training that expires on 11/23/2027. LPA reminded licensee that Mandated Reporter training and CPR/First Aid certification must be renewed every two years. Continued on Page 4 Supervision of children was discussed with the Licensee and she understands that she must be home during day care hours and ensure that children are supervised at all times. Licensee understands she cannot be absent from the day care for more than 20% of the daily hours the facility is open. The Licensee states that she does not transport any day care children. LPA reminded Licensee that children should not be left unattended in parked vehicles and that car seats shall only be used for transportation and shall not be used for sleeping. Licensee understands there must be an adult present with CPR/First Aid certification at all times. On 12/04/2025, the California Attorney General - Megan\342\200\231s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility address. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ. Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. On 11/25/2025, Santa Clara County Fire Department granted fire clearance for the facility to increase capacity to a Large Family Child Care Home. Licensee has provided all of the necessary documentation and met all requirements to increase the Small FCCH to the Large FCCH which has a maximum capacity of 14 children. Licensee was informed that a Large FCCH license would be granted upon review and approval from a Licensing Program Manager. During today's inspection the following document was collected: Updated LIC279 Continued on Page 5 As a result of today's inspection, one (1) technical violation was cited, more details provided on the attached LIC9102TV. Exit interview conducted with Licensee. Report was reviewed and provided to Licensee Shadieh Shahbazi along with appeal rights. A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process .