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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493906
Report Date: 05/09/2023
Date Signed: 05/09/2023 03:49:53 PM

Document Has Been Signed on 05/09/2023 03:49 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ALALI FAMILY CHILD CAREFACILITY NUMBER:
197493906
ADMINISTRATOR:ALALI, MAHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 465-3767
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91403
CAPACITY: 14TOTAL ENROLLED CHILDREN: 17CENSUS: 17DATE:
05/09/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:18 PM
MET WITH:MAHA ALALI - LicenseeTIME COMPLETED:
04:20 PM
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On 05/09/2023, Licensing Program Analyst (LPA) Suzette Ornelas was at the licensed facility conducting an alternate inspection when the deficiency listed below was observed.

Deficiencies observed: LPA observed 4 children napping inside the classroom upon entering the facility and 13 children in the detached activity room in the back of the home awake and engaging in childcare activities.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: 102416.5(d)(1)(2) Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or (2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met (see next page, 809 D).

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the LIC 9224 was given to licensee.

LPA provided a copy of title 22 - 102416.5 Staffing Ratio and Capacity, health & safety code - 1597.465


Large family day care homes; number of children, the capacity regulations sheet For Family Child Care Home License Large Family Child Care Home Capacity sheet.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. A copy of this Report (LIC809 & LIC809-D), Appeal Rights (LIC9058) and Notice of Site Visit were reviewed and provided to the Facility Representative MAHA ALALI.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2023
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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Document Has Been Signed on 05/09/2023 03:49 PM - It Cannot Be Edited


Created By: Suzette Ornelas On 05/09/2023 at 02:14 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ALALI FAMILY CHILD CARE
FACILITY NUMBER: 197493906

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/09/2023
Section Cited
CCR
102416.5(d)(1)(2)

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(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10... (1) Twelve children, no more than four of whom may be infants. (2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 ... are met.This requirement was not met as evidence by
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Licensee provided a declaration that she understand her ratio and capacity. Licensee contacted parents of 5 children who were picked up and was back in ratio (12 children).
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Based on observations and records obtained during this inspection. Licensee confirmed that she had 17 children (all children between the ages of 2y-6y). This poses an immediate Health and Safety or Personal Rights risk to children in care.
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LPA provided a copy of LIC9224 Acknowledgement of Receipt of Licensing Reports that licensee will email to LPA no later than 05/11/2023.

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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:Lisa Rios
LICENSING EVALUATOR NAME:Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2023


LIC809 (FAS) - (06/04)
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