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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376623263
Report Date: 09/09/2019
Date Signed: 09/09/2019 01:28:53 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:OURAHA, L, SALEEM, R AND YOUSIF, K FCCFACILITY NUMBER:
376623263
ADMINISTRATOR:LAMYA OURAHA & RASHA S.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 768-3606
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:14CENSUS: 0DATE:
09/09/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Lamya Ouraha, LicenseeTIME COMPLETED:
01:40 PM
NARRATIVE
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Licensing Program Analysts (LPAs), Michelle Hood and Elizabeth Rivera, made an unannounced visit for the purpose of a required annual inspection. During this visit, there were no children present with Licensee and co-licensee Rasha Saleem.

LPAs toured the home. Off limits areas have been made inaccessible with the use of safety gates and latches. There is sufficient space for the children to eat, sleep and play within the home and was a comfortable temperature during this visit. There are plenty of age appropriate toys, game, books and play equipment available, in good condition. Licensee's CPR/First Aide are valid until 08/2021. The fire extinguisher is full, of regulation size, and located on kitchen counter. The smoke alarm and carbon monoxide detectors are operational. All adults living and working in the home have been fingerprint cleared and associated. There are no weapons in the home. The last emergency drill was conducted on 04/05/2019. LPA's reviewed the Facility Roster and eight (8) children's records for LIC 9224, Emergency Information, Immunization's and Notification of Parents’ Rights form. LIC 9224 form is missing from eight (8) children's records. LPAs reviewed SIDS, Shaken Baby Syndrome, Safe Sleep and Incidental Medical Services. Licensee is not providing IMS at this time. See LIC 809D for deficiency.
NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS

Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ My CCL Web Portal: www.myccl.ca.gov
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2019
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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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: OURAHA, L, SALEEM, R AND YOUSIF, K FCC
FACILITY NUMBER: 376623263
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/10/2019
Section Cited

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Health and Safety Code. A licensed child care facility...shall provide to the parents of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an

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immediate risk...personal rights of children in care...This requirement is not met as evidenced by: LPAs reviewed eight (8) children's files. LIC 9224 form was not observed in children's files.
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This is a potential health & safety risk to children in care.

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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: Jason GarayTELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:
DATE: 09/09/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/09/2019
LIC809 (FAS) - (06/04)
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