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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101087
Report Date: 06/02/2022
Date Signed: 06/02/2022 03:45:47 PM


Document Has Been Signed on 06/02/2022 03:45 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:ABDI, MISKI FAMILY CHILD CAREFACILITY NUMBER:
376101087
ADMINISTRATOR:MISKI ABDIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 278-1416
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY:14CENSUS: 0DATE:
06/02/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Applicant, Miski Abdi TIME COMPLETED:
02:50 PM
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Licensing Program Analyst (LPA) Jennifer Lott conducted an unannounced case management inspection in order to observe corrections made from a pre licensing inspection conducted on 05/26/2022.

During today's visit, LPA toured the facility, verified that the outdoor debris was removed and verified that the jacuzzi had been emptied and secured with a locking cover. LPA attempted to pull on the locks and straps and the cover was secure.

Additionally, the applicant submitted photos of their required postings. Lastly, applicant has changed their mind on the outdoor play area until which time a permanent and secured fence can be installed. For now, there will be no outdoor play available, only indoor play. Applicant's facility floor plan has been changed to reflect that all outdoor areas are off limits.
Since the corrections have been made, a license for a capacity of 14 will be issued upon final file review.

An exit interview was conducted with Applicant, Miski Abdi. This report is missing applicant's signature due to an issue with LPA's computer. This report was emailed to applicant and a read receipt acknowledges receipt.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2022
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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