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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100166
Report Date: 03/29/2022
Date Signed: 03/29/2022 04:38:16 PM


Document Has Been Signed on 03/29/2022 04:38 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:ABDALLA, LEYLA FAMILY CHILD CAREFACILITY NUMBER:
376100166
ADMINISTRATOR:LEYLA ABDALLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 279-9140
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:14CENSUS: 0DATE:
03/29/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
04:05 PM
MET WITH:Leyla AbdallaTIME COMPLETED:
04:45 PM
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On 3/29/22 at 4:05 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced case management inspection. Upon arrival, LPA met with Licensee Leyla Abdalla, explained the purpose of the visit and toured the facility. The purpose of the visit is to review accusation served by the Department and to verify that Licensee is complying with requirements to provide copies to parents of children in care. There were no daycare children present at time of inspection. Licensee states that she cares for a family with 7 children on Saturdays and Sundays. Also present in the facility was Licensee's 3 minor children. The eldest daughter helped with translation as Licensee speaks Somali. Licensee stated that she had not received the accusation in the mail or by e-mail. LPA Lane provided a copy at the visit and directed any questions regarding it to the attorney listed on the document. LPA Lane explained that Licensee needs to make a copy of the accusation and provide it to the family in care and have the parents sign LIC9224 forms for the children in care to prove they have received a copy of the accusation.

No deficiencies were cited during this inspection.
Exit interview conducted and report was reviewed with licensee Leyla Abdalla. A notice of Site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:
DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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