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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376626956
Report Date: 08/31/2022
Date Signed: 09/08/2022 01:53:55 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/15/2022 and conducted by Evaluator Nancy Diaz
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220815112356
FACILITY NAME:NOORISTANI, ADINA & ZIA FAMILY CHILD CAREFACILITY NUMBER:
376626956
ADMINISTRATOR:ADINA & ZIA NOORISTANIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 396-8457
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:14CENSUS: 7DATE:
08/31/2022
UNANNOUNCEDTIME BEGAN:
08:36 AM
MET WITH:Adina & Zia NooristaniTIME COMPLETED:
10:05 AM
ALLEGATION(S):
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Licensee is over capacity.
INVESTIGATION FINDINGS:
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On 9/8/2022 @ 1:10PM, LPA Nancy Diaz conducted an unannounced inspection to deliver the amended findings on the above-referenced allegation. Mr. Nooristani was home today. There were no children present upon arrival. Mrs. Nooristani arrived at 1:25. She stated that one of the children was sick. Mrs. Nooristani helped take the child to the hospital. Father of the children stayed home with the well children.

Throughout the course of the investigation, records were obtained, facility staff and day-care parents were interviewed. Unannounced inspections were conducted. Facility was not observed to be over capacity. There were no witnesses to corroborate or support the allegation. The above allegation is found to be unsubstantiated, which means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove the alleged violation occurred, therefore the allegation is found to be unsubstantiated. No deficiency cited. Appeal Rights were discussed and provided verbally and in writing. Notice of Site Visit was posted during this inspection and will remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022
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 2
Control Number 51-CC-20220815112356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: NOORISTANI, ADINA & ZIA FAMILY CHILD CARE
FACILITY NUMBER: 376626956
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/31/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
HSC
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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: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2