San Jose · Licensed family home
Mohammad, Suriya
At a glance
- Full-size family home, licensed for up to 14 children.
What the state has found
The state cited rules at 2 of its 3 licensing inspections since November 2023.
See each inspection
Licensing inspections
Jan 15, 20263 citations
CCR 102425(b)Type B
“(b) Cribs or play yards shall be free from all loose articles and objects. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above for 3 infants (C3, C4 and C5) which poses a potential health, safety or personal rights risk to persons in care. Infants were observed to be napping in play yards with loose items like blankets and waterproof mats placed on the play yard mattress. LPA also observed a milk bottle and cap inside infant's play yards. Licensee stated that she placed the extra blankets and mats for cushioning to prevent children from injuries. LPA reminded Licensee about safe sleep regulations and provided Licensee with a copy of PIN 20-24-CCP.”
CCR 102425(b)
HSC 1596.8662(b)(1)Type B
“(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above for herself and assistant which poses a potential health, safety or personal rights risk to persons in care. Licensee and assistant were unable to provide proof of completed Mandated Reporter Training.”
HSC 1596.8662(b)(1)
CCR 102425(j)(2)(D)(c)Type B
“Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above for three infants (C3, C4 and C5) which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102425(j)(2)(D)(c)
Oct 24, 20247 citations
CCR 102417(b)Type B
“(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPAs observed that generally the home is not clean. LPA observed that the crib is dirty and in the crib, there are food inside, and the mattress inside the crib is not in clean condition. LPA observed that there are spiderwebs in several on limit areas both outdoor and indoor. LPA observed that the high chair is not in clean condition.”
CCR 102417(b)
CCR 102417(g)(9)(A)Type B
“(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because the licensee cannot provide the fire drills and disaster drills documentations which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102417(g)(9)(A)
HSC 1597.622(c)Type B
“(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because the licensee cannot provide S2's required MMR immunization proof, which poses a potential health, safety or personal rights risk to persons in care.”
HSC 1597.622(c)
CCR 102418(g)Type B
“(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because 3 children (C2-C4) which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102418(g)
CCR 102417(g)(8)Type B
“(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because the licensee did not complete the roster of children which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102417(g)(8)
CCR 102425(c)Type B
“An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because the licensee cannot provide the infant sleeping plan which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102425(c)
CCR 102425(j)(2)(D)(c)Type B
“Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because the licensee cannot provide the documentation of the 15-minute sleeping check for the infant which poses a potential health, safety or personal rights risk to persons in care.”
CCR 102425(j)(2)(D)(c)
- Nov 3, 2023Nothing cited
The state cited rules at 2 of this home's 3 inspections. Most Bay Area family homes inspected 3 times had fewer: 86% of 798 had rules cited at 1 or none.
How all 798 Bay Area family homes inspected 3 times compare
Of the 798 Bay Area family homes the state inspected 3 times, how many of those inspections cited a rule:
- None57%
- 1 of 329%
- 2 of 311%This home
- All 33%
Read every record and the state’s reports
State record — California CDSS Community Care Licensing
- Last visit
- January 15, 2026
- On file
- 3 visits since November 2023 — 1 cited nothing
- Most serious
- Type B —
(b) Cribs or play yards shall be free from all loose articles and objects. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above for 3 infants (C3, C4 and C5) which poses a potential health, safety or personal rights risk to persons in care. Infants were observed to be napping in play yards with loose items like blankets and waterproof mats placed on the play yard mattress. LPA also observed a milk bottle and cap inside infant's play yards. Licensee stated that she placed the extra blankets and mats for cushioning to prevent children from injuries. LPA reminded Licensee about safe sleep regulations and provided Licensee with a copy of PIN 20-24-CCP.
· January 15, 2026
California CDSS publishes the full investigation narrative for a complaint, including its disposition, and classifies a citation Type A — an immediate risk to a child — or Type B.
Jan 2026 Licensing visit 3 findings
Licensing visit · January 15, 2026
CCR 102425(b) · Type B
(b) Cribs or play yards shall be free from all loose articles and objects. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above for 3 infants (C3, C4 and C5) which poses a potential health, safety or personal rights risk to persons in care. Infants were observed to be napping in play yards with loose items like blankets and waterproof mats placed on the play yard mattress. LPA also observed a milk bottle and cap inside infant's play yards. Licensee stated that she placed the extra blankets and mats for cushioning to prevent children from injuries. LPA reminded Licensee about safe sleep regulations and provided Licensee with a copy of PIN 20-24-CCP.
HSC 1596.8662(b)(1) · Type B
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above for herself and assistant which poses a potential health, safety or personal rights risk to persons in care. Licensee and assistant were unable to provide proof of completed Mandated Reporter Training.
CCR 102425(j)(2)(D)(c) · Type B
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above for three infants (C3, C4 and C5) which poses a potential health, safety or personal rights risk to persons in care.
Oct 2024 Licensing visit 7 findings
Licensing visit · October 24, 2024
CCR 102417(b) · Type B
(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPAs observed that generally the home is not clean. LPA observed that the crib is dirty and in the crib, there are food inside, and the mattress inside the crib is not in clean condition. LPA observed that there are spiderwebs in several on limit areas both outdoor and indoor. LPA observed that the high chair is not in clean condition.
CCR 102417(g)(9)(A) · Type B
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because the licensee cannot provide the fire drills and disaster drills documentations which poses a potential health, safety or personal rights risk to persons in care.
HSC 1597.622(c) · Type B
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because the licensee cannot provide S2's required MMR immunization proof, which poses a potential health, safety or personal rights risk to persons in care.
CCR 102418(g) · Type B
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because 3 children (C2-C4) which poses a potential health, safety or personal rights risk to persons in care.
CCR 102417(g)(8) · Type B
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because the licensee did not complete the roster of children which poses a potential health, safety or personal rights risk to persons in care.
CCR 102425(c) · Type B
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because the licensee cannot provide the infant sleeping plan which poses a potential health, safety or personal rights risk to persons in care.
CCR 102425(j)(2)(D)(c) · Type B
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above because the licensee cannot provide the documentation of the 15-minute sleeping check for the infant which poses a potential health, safety or personal rights risk to persons in care.
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Details
- Phone
- (408) 457-4279
- Area
- San Jose, 95148
- License
- 434416474
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Sources and dates
Where every fact on this page came from, and when Shortlist last checked it against that source. Anything Shortlist could not source is named here rather than left blank.
All checked November 2026.
State record
From California CDSS Community Care Licensing’s published reports, last checked November 5, 2026.
Details
- Phone, License ccld.dss.ca.gov
Full-size means licensed for 14 children, the most any Bay Area family home holds; 442 of Bay Area’s 466 licensed family homes are. Small is 10 to 13.