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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376619877
Report Date: 03/06/2020
Date Signed: 03/06/2020 12:12:51 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:ANDER, MALALAI FAMILY CHILD CAREFACILITY NUMBER:
376619877
ADMINISTRATOR:MALALAI ANDERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 524-6424
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY:14CENSUS: 9DATE:
03/06/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Malalai AnderTIME COMPLETED:
12:20 PM
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Licensing Program Analyst Selina Siao conducted an unannounced plan of correction inspection to ensure all citations issued on 1/09/2020 have been cleared. Present at the facility today is licensee, her two helpers Shiva Atefi and Belqis Habibzada with 9 children including two older infants at the fenced backyard. The younger children are separated at the fenced backyard from the older children to ensure children's safety.

LPA reviewed all the children's files and all the records are in ordered and all children's have the immunization blue cards in their files. Licensee has the fire drill log posted and it shows that she conducted a fire drill with the children in care on 1/17/2020. All required postings are posted at the facility. The home does not have any prohibited items.

LPA observed a safety gate that is secured at the bottom of the stairs.

All helpers have the required background clearances and are associated to the facility.


Facility appears to be within substantial compliance during today's inspection. No citation issue.

A Notice of Site Visit was posted during the inspection and it must remain posted for a period or 30 days. Failure to keep notice posted will result in a civil penalty of $100.00. Provided appeal rights to licensee today.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
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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