<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100171
Report Date: 02/19/2020
Date Signed: 02/19/2020 01:55:38 PM

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:ALKHALEIF, ASMAA FAMILY CHILD CAREFACILITY NUMBER:
376100171
ADMINISTRATOR:ASMAA ALKHALEIFFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 631-9695
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:14CENSUS: 0DATE:
02/19/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:37 PM
MET WITH:Asmaa AlkhaleifTIME COMPLETED:
02:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
An unannounced case management inspection was conducted today by LPA Nancy Diaz. Mrs. Alkhaleif was home today with her one-year old daughter. Her husband, Azzam Alkhaleif arrived a few minutes into inspection. A Language Link Translator (#12638) assisted in translating this inspection in Arabic.

Additional information (time sheets) were received at the department indicating that Mrs. Alkhaleif was operating over her capacity from January 1st to January 10th. Time sheets submitted by Mrs. Alkhaleif indicated that she was providing care to 16 children between the hours of 3:30pm to 5:30pm. This number did not include her 3 children under age 10. Mrs. day care children (3 of those children including her own are under age 2).

California Code of Regulations, Title 22, Division 12 is being cited on the Alkhaleif stated that she had made corrections and has notified YMCA that she has given notice to one family and is currently only providing care to 10 attached LIC 809D. TYPE B DEFICIENCY IS CITED.
Type B deficiency if not corrected poses a potential risk to the health, safety or personal rights of children in care.
An exit interview was conducted. Appeal rights were provided in writing.

LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ALKHALEIF, ASMAA FAMILY CHILD CARE
FACILITY NUMBER: 376100171
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/19/2020
Section Cited

1
2
3
4
5
6
7
STAFFING RATIO & CAPACITY.
More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met.


This regulation requirement was not met as evidenced by:

8
9
10
11
12
13
14
Timesheets received at the office indicated that Mrs. Alkhaleif was providing care to 16 children from January 1st to 10th between 3:30pm to 5:30pm. This number does not include her 3 children under the age of 10.
At 1:15PM, Mrs. Alkhaleif admitted to submitting claims for 16 children to YMCA.
8
9
10
11
12
13
14
Mrs. Alkhaleif shall complete an online orientation. She will request her friend to translate the orientation in Arabic. She stated that she will complete the orientation no later than 2/22/2020.

1
2
3
4
5
6
7

1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2