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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416773
Report Date: 04/03/2026
Date Signed: 04/03/2026 11:00:26 AM

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
02/27/2026 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20260227091711
FACILITY NAME:FARAHMAND POOR, ROZHINFACILITY NUMBER:
434416773
ADMINISTRATOR:ROZHIN, FARAHMAND POORFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(669) 251-6021
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:14CENSUS: 6DATE:
04/03/2026
UNANNOUNCEDTIME BEGAN:
08:43 AM
MET WITH:Rozhin Farahmand PoorTIME COMPLETED:
11:10 AM
ALLEGATION(S):
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Provider leaves day care child soiled for extended periods of time.
Provider allowed an uncleared adult to care and supervise day care children.
INVESTIGATION FINDINGS:
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On April 3, 2026, Licensing Program Analysts (LPAs) Marilou Monico and Yareli Ramirez conducted an unannounced follow up Complaint investigation and to deliver findings . Upon arrival, LPAs were greeted by the Licensee and provided access to the home. LPAs toured the facility with Licensee. Also present in the home were Licensee's husband and six daycare children including two infants and four preschool age. Licensee's two adult helpers (H1 & H2) arrived during the inspection

During the course of this investigation, LPA Monico conducted interviews, observed the facility, and reviewed relevant documentation. Based on interviews and record review, it was determined that Adult (A1) was present and working in the home on February 24, 2026 and February 25, 2026. Interviews confirmed that A1 was assisting with child care responsibilities during this time. A review of Guardian records indicated that A1’s fingerprint clearance was not issued until February 26, 2026. Therefore, A1 was working in the facility on two separate days without the required background clearance.

Continuation on next pages:
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026
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 5
Control Number 07-CC-20260227091711
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: FARAHMAND POOR, ROZHIN
FACILITY NUMBER: 434416773
VISIT DATE: 04/03/2026
NARRATIVE
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Additionally, multiple interviews revealed concerns regarding diapering practices. Based on interviews, children were picked up from the facility wearing soiled diapers. Based on the information gathered through interviews and evidence gathered, the facility did not maintain compliance with background check requirements and did not consistently ensure that children’s diapering needs were met in a timely manner. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiencies are cited on the attached LIC9099-D.

LPAs Monico and Ramirez informed the Licensee, Rozhin Farahmand Poor, that this report dated April 3, 2026 that documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPAs informed the Licensee to provide a copy of this licensing report dated April 3, 2026 that documents Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with Licensee, Rozhin Farahmand Poor. Appeal rights were provided to Licensee.

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20260227091711
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: FARAHMAND POOR, ROZHIN
FACILITY NUMBER: 434416773
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/06/2026
Section Cited
CCR
102370(d)(1)
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Criminal Record Clearance - (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department.
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Licensee stated that she will submit a written plan by 04/06/26 to ensure that all adults have fingerprint clearances prior to working in the home.
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This requirement was not met as evidenced by: Adult (A1) was present and working in the home on 02/24/26 and 02/25/26 without fingerprint clearance. This posed an immediate risk to the health, safety, and personal rights of children in care.
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Civil penalty of $200 was assessed.
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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: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 07-CC-20260227091711
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: FARAHMAND POOR, ROZHIN
FACILITY NUMBER: 434416773
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/07/2026
Section Cited
CCR
102423(a)(2)
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Personal Rights: (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This requirement was not met as evidenced by:
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Licensee states that she will submit a written plan by 04/07/26 to ensure that children's diapers are changed/checked in a timely manner or as needed.
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Based on interviews, children’s diapering needs were not met which poses a potential risk to the health, safety, or personal rights of children 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: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5