well Lee sayoung was a hurt kid the first time they met, spoke once barely while asking for help, then got wholly bandaged for a long time. He couldn't speak then, and J was more worried about his physical condition than focusing on recognizing him 8 years after. He could also never guess that sick kid would be so healthy afterwards, specially since he was not an awakened before.

So Sayoung knows that IT was J who saved him. Why J doesn't figure IT out himself? Maybe because Sayoung doesn't look do young?