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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444415860
Report Date: 07/15/2025
Date Signed: 07/16/2025 03:50:01 PM

Unsubstantiated


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
05/29/2025 and conducted by Evaluator Syhshyan Yu
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250529163616
FACILITY NAME:MAZLOOM, SEDIQUEFACILITY NUMBER:
444415860
ADMINISTRATOR:MAZLOOM, SEDIQUEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 656-1590
CITY:SCOTTS VALLEYSTATE: CAZIP CODE:
95066
CAPACITY:14CENSUS: 11DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Sedique MazloomTIME COMPLETED:
10:05 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is not present 80 percent of the day
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Shine Yu conducted a Complaint investigation to deliver the findings. LPA met with Licensee Sedique Mazloom. Present during visit were licensee, two staff, and 11 preschool aged children.

On 6/04/2025, LPA conducted an initial complaint investigation and reviewed supporting documentation. LPA also interviewed licensee and two staff, and toured facility. On 6/13/2025, LPA Darnella Barnes conducted an unannounced annual inspection with Licensee. On 6/27/2025, LPA conducted phone interviews with parents. Parents stated that the licensee was present when they checked in / out their children. On 7/14/2025 LPA conducted phone interview with staff. On 7/15/2025 LPA conducted interview with licensee and staff.

Throughout the investigation process, it was found the allegation is UNSUBSTANTIATED; based on interviews, observations, and information gathered by LPA. A finding that is UNSUBSTANTIATED means although the allegation may have happened or is valid, the preponderance of evidence does not prove it.

Exit interview conducted and copy of this report was reviewed with the Licensee Sedique Mazloom.
A copy of Appeal Rights was given. NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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