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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700227
Report Date: 04/29/2022
Date Signed: 04/29/2022 01:54:51 PM

Document Has Been Signed on 04/29/2022 01:54 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:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
04/29/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Sahar EldeebTIME COMPLETED:
02:00 PM
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On 04/29/2022, approximately at 1:00PM Licensing Program Analysts (LPAs) Kelly Phan and Russ Haderer arrived unannounced and met with licensee Sahar Eldeeb for the purpose of conducting a plan of correction inspection to verify if corrections were made. Present for this inspection was the licensee, housekeeper (she comes once a week for few hours and is not alone with children at anytime),5 preschool aged children and 1 infant in care. LPAs entered the facility and began the inspection of the facility to conduct a health and safety check.

ON 4/06/2022 the following deficiency was cited: LPA observed 7 children in care, one was not at least six years old and were not attending school, therefore a type A deficiency was cited. Based on LPA's observations today, licensee has failed to correct deficiency cited from prior inspection to reduce capacity by two (2) children. A civil penalty of $250.00 was cited, see LIC 809D.

During the inspection today LPAs toured the entire facility and verified the ages of the children with licensee and observed to have 6 children (five preschoolers and 1 infant) in her care.

As of today, the licensee is in ratio today and complying with the capacity stated on her small family child care license. This report shall be kept on file for 3 years.

Exit interview conducted with licensee Sahar Eldeeb

Notice of site visit was issued and must be posted for 30 days.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Kelly Phan
LICENSING EVALUATOR SIGNATURE: DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2022
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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