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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000148
Report Date: 07/12/2024
Date Signed: 07/12/2024 12:43:48 PM

Document Has Been Signed on 07/12/2024 12:43 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:FAOURI FAMILY DAY CAREFACILITY NUMBER:
198000148
ADMINISTRATOR/
DIRECTOR:		FAOURI, FERYALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 625-5808
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 4DATE:
07/12/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:FERYAL FAOURITIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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On 7/12/2024 at 11:00 am an unannounced Case Management – Deficiencies inspection was conducted by Licensing Program Analyst (LPA) Carolyn Tuba who was there to conduct a separate inspection visit and during the course of the investigation a separate deficiency was discovered. A Covid risk assessment was conducted. LPA met with Licensee, Feryal Faouri and took a census of 4 children present. There were also two (2) additional adults present who are fingerprint cleared.

During the visit at approximately 11:15 am. LPA did a records review and found that both the licensee and her daughter who assist her had expired mandated reporting training certificates, which had expired on May 1, 2024. LPA had inquired if current training certificates had been completed and Licensee stated that she was not aware that the training needed to be conducted every 2 years. LPA has advised to complete the training.

The following deficiency listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiency that are being cited need to be cleared to protect the children’s health & safety.


A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Feryal Faouri.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2024
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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Document Has Been Signed on 07/12/2024 12:43 PM - It Cannot Be Edited


Created By: Carolyn Tuba On 07/12/2024 at 11:56 AM
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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: FAOURI FAMILY DAY CARE
FACILITY NUMBER: 198000148

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/19/2024
Section Cited
HSC
1596.8662(b)(1)

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On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider,administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal
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Licensee and her daughter (Assistant) will be completing the traing and providing the LPA with a copy. Licensee understands that the training is to be done every 2 years.
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mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by: During record review LPA found the licensee and assistant had expired certificates on 5/1/2024. which poses/posed a potential health, safety or personal rights risk to persons 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:Ana Chico
LICENSING EVALUATOR NAME:Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:
DATE: 07/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/12/2024


LIC809 (FAS) - (06/04)
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