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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700227
Report Date: 09/13/2024
Date Signed: 09/13/2024 06:24:22 PM

Document Has Been Signed on 09/13/2024 06:24 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:ELDEEB, SAHARFACILITY NUMBER:
015700227
ADMINISTRATOR/
DIRECTOR:		ELDEEB, SAHARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 335-9712
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 14TOTAL ENROLLED CHILDREN: 15CENSUS: 11DATE:
09/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Sahar EldeebTIME VISIT/
INSPECTION COMPLETED:
05:41 PM
NARRATIVE
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On 9/13/2024 at 9:40am Licensing Program Analyst (LPA) Morgan Pringle met with Licensee Sahar Eldeeb for an unannounced case management visit for an incident that happened on 9/11/2024 around 7:07pm. Present during LPA’s visit were the Licensee, her two (2) adult helpers, three (3) infants and four (4) preschool age children. Four (4) school age children arrived during LPA's visit. Licensee’s adult son was present in the home in an off-limit area. Licensees home was toured for a health and safety inspection. Licensee stated her new hours of operation are 24hours, Monday - Friday. Licensee is aware that a child may not be in care for 24hours at a time. Licensee stated the hours of operation changed around 4/2024. LPA reminded Licensee that she must notify the Department when the facilities hours of operation have changed.

Licensee holds a license for foster care of 5 children and currently has five (5) foster children living in her home, ages 4, 3, 3, 1 and 5 months old. License number, 075200120.

On 9/12/2024 Licensee self-reported an incident stating on 9/11/2024 at 7:07pm a child (C1) had gotten out of the home on their own and walked down the street and around the corner. Licensee stated she had her back towards the front door of the home assisting a child when another child (C2) in care in informed her that C1 had left. Licensee stated there were nine (9) additional children present when the incident happened. Licensee stated she asked an adult (A1), who was there to clean the home, to watch the other children while she looked outside for C1. Licensee immediately called 911 and was informed that they had received a call about a lost child 2 minutes before her call. Licensee was informed C1 was found around the corner and four (4) houses down the street by two women who live in the area. Licensee drove to the location where she was told C1 was and was met with an officer from the Fremont Police Department. The child’s mother arrived on the scene within 10 minutes. C1 was unharmed and returned to the mother.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2024
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: ELDEEB, SAHAR
FACILITY NUMBER: 015700227
VISIT DATE: 09/13/2024
NARRATIVE
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Deficiencies cited during LPA visit
· Children in care were left in the home with an adult who had not obtained a criminal record clearance.
· Facility was out of ratio when incident occurred.
· Lack of Supervision

LPA Pringle informed Licensee that this report dated 9/13/2024 document(s) 3 Type A citations which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Pringle informed the Director to provide a copy of this licensing report dated 9/13/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Two (2) civil penalties totaling $1500.00 is also being assessed for criminal record clearance and lack of supervision.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee, Sahar Eldeeb.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 09/13/2024 06:24 PM - It Cannot Be Edited


Created By: Morgan Pringle On 09/13/2024 at 02:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ELDEEB, SAHAR
FACILITY NUMBER: 015700227

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/16/2024
Section Cited
CCR
102370(d)(1)

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102370(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department...
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Due to Marves Omier being left alone with children in care, A criminal record clearance must be obtained by Marves Omier before returning to the home.
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This requirement was not evidenced by, Based on interview Licensee left nine (9) children in care with an adult friend, Marves Omier, who was cleaning the home and has not obtained a criminal record clearance which poses an immediate risk the health and safety of the children in care.
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Type A
09/16/2024
Section Cited
CCR102416.5(e)

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102416.5(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home...This requirement was not met as evidenced by,
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Licensee will ensure that when there no is helper present she will adhere to the capacity requirements of a small family child care home. Licensee will watch the CCLD training video titled, "How Many Children Can Attend a Family Child Care Home"
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Licensee had ten (10) children in care with no assistant present when C1 walked out of the home alone which poses an immediate risk to the health and safety of the children in care.
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and submit a statement to LPA summarizing what was learned and how she will remain in ratio moving forward.
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 Jang
LICENSING EVALUATOR NAME:Morgan Pringle
LICENSING EVALUATOR SIGNATURE:
DATE: 09/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2024


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 09/13/2024 06:24 PM - It Cannot Be Edited


Created By: Morgan Pringle On 09/13/2024 at 03:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ELDEEB, SAHAR
FACILITY NUMBER: 015700227

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/16/2024
Section Cited
CCR
102417(a)

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102417(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times....This requirement was not evidenced by, C1 left the home without supervision and without the Licensee's knowledge.
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Licensee will watch the training video on the CCLD website titled "Supervising Children in Family Child Care" and submit a statement to LPA Pringle summarizing what was learned from the video and how she will ensure full supervision will be provided moving forward.
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This poses an immediate risk to the health and safety of the 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 Jang
LICENSING EVALUATOR NAME:Morgan Pringle
LICENSING EVALUATOR SIGNATURE:
DATE: 09/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2024


LIC809 (FAS) - (06/04)
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