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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700227
Report Date: 11/07/2024
Date Signed: 11/07/2024 01:26:12 PM

Document Has Been Signed on 11/07/2024 01:26 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
OAKLAND SOUTH CC RO, 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: 14CENSUS: 0DATE:
11/07/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Sahar EldeebTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On November 7, 2024 at 10:45AM, Regional Manager (RM) Loretta Dyson, Licensing Program Manager (LPM) Jason Jang, Licensing Program Analysts (LPAs) Jaleesa Jackson, and Morgan Pringle met with Licensee Sahar Eldeeb at the Oakland Southeast Regional office for a Noncompliance Conference (NCC). Also present was the Licensee's son and attorney. The purpose of this NCC was to discuss the facility noncompliance regarding lack of supervision, ratio, infant safe sleep and adults in the home without a criminal record clearance.

Within the last 12 months, this facility has had five (5) Type A violations in regards to the facility not following infant safe sleep, three (3) Type A violations for criminal record clearance, one (1) Type A violation for ratio, and one (1) Type A violation for lack of supervision. The facility has also received multiple Type B violations in the last 12 months.

During the meeting, RM Dyson and LPM Jang discussed with the Licensee the reasons for the non-compliance with the regulations. The current hours of operation and how ratio will be maintained with 24 hour care. LPA reminded Licensee that care provided during the day and overnight shall not exceed 24 hours from when the child entered the care. The Licensee is being provided information on our Technical Support Program (TSP) and being placed on required visits for the next 12 months.

LPA Jackson informed the Licensee that the licensee is to provide a copy of this licensing report dated 11/7/2024 that documents a Noncompliance Conference 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.
An exit interview was conducted with Sahar Eldeeb.
Appeal rights were given and explained to the Licensee.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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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