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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845525
Report Date: 02/19/2025
Date Signed: 02/19/2025 02:09:09 PM

Document Has Been Signed on 02/19/2025 02:09 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:MAHMOOD FAMILY CHILD CAREFACILITY NUMBER:
334845525
ADMINISTRATOR/
DIRECTOR:		MAHMOOD, LUBNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 550-6115
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 0DATE:
02/19/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:25 PM
MET WITH:Lubna MahmoodTIME VISIT/
INSPECTION COMPLETED:
02:18 PM
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An informal office meeting was held at the Riverside Child Care South East Regional Office on 02/19/25 , with Licensing Program Managers (LPM) Carlos Martinez, Licensing Program Analyst (LPA) Cindy Hamilton , and Licensee Lubna Mahmood.  The purpose of the office meeting was to discuss the following:
 
1. Responsibility for Providing Care and Supervision
2. Personal Rights
4. Technical Support Services (TSP) referral will be sent for licensee.
 
LPM Martinez reminded Ms.Mahmood of how important regulatory compliance is in licensed facilities to protect the Health and Safety of children in care.  Ms.Mahmood agrees to visit www.ccld.ca.gov to review the California Code of Regulations, Title 22, Division 12, Chapter 1.  The licensee was advised to register on the department's website to obtain regulation updates:
(https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe).  The updates will be sent via e-mail once you have set up an account.
 
The Duty Officer is available to answer questions Monday - Friday at 951-782-4200 if the LPA is unavailable or they have general question regarding the operation of a childcare home.
 
An exit interview was conducted with the Licensee and a copy of this report was provided.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/19/2025
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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