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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100184
Report Date: 12/07/2021
Date Signed: 12/07/2021 12:09:20 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:JAMEEL, MOREEN FAMILY CHILD CAREFACILITY NUMBER:
376100184
ADMINISTRATOR:MOREEN JAMEELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 493-8820
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:14CENSUS: 0DATE:
12/07/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Moreen JameelTIME COMPLETED:
12:30 PM
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On 12/7/21 at 11:45 AM Licensing Program Analyst (LPA) Adrian Mangina conducted a Plan of Correction visit to the child care home to follow-up on deficiency cited during an annual inspection on 11/15/21. LPA met with Licensee, Moreen Jameel. Also in the home were Licensee's husband Dani Jameel and Mother Habiba Somiya. There were no children in care. Proper supervision and ratios were observed. During the visit, LPA verified that the following correction was made:

1) That all children in Licensee's care have complete files

No deficiencies were cited during this visit.

Licensee was provided with a copy of this report (LIC809). Their signature on this form is acknowledgement of receipt. A Notice of Site Visit (LIC9213) was also provided and must be posted for 30 consecutive days.
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021
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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