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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846557
Report Date: 04/05/2024
Date Signed: 04/05/2024 04:03:05 PM

Document Has Been Signed on 04/05/2024 04:03 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:FARHOUD & ALSBOU FAMILY CHILD CAREFACILITY NUMBER:
334846557
ADMINISTRATOR/
DIRECTOR:		CAROL F. & RAKAN A.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(971) 280-4054
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/05/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:05 PM
MET WITH:Carol FarhoudTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
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On the date and time listed above Licensing Program Analyst (LPA) Giselle Carbullido arrived at the facility to conduct a follow up Pre-licensing inspection for corrections needed for pool area. Present during this inspection were: Carol Farhoud Applicant. LPA toured the facility, inside and out and the following was observed and/or discussed:

A prior pre-license inspection was conducted on 03/29/2024 noting before licensure, the following needs to be corrected/completed:

1. Pool fence must meet Title 22 regulations: Applicant has completed remediation of pool area with self latching and swing away gates. Pool area is now enclosed with 5 ft fence on half the pool area. Back perimeter and sides of pool have wrought iron fence lower than 5ft. Back perimeter fence will have to meet regulations for 5 feet fence.

2. Enrollment packet for children- LPA observed and reviewed enrollment packet- completed.

3. Make bedroom and laundry doors inaccessible. LPA observed spinners and locks are now in place.

4. Parent board- LPA observed completed and set up in front entry.

Once all corrections have been verified, the application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification. Applicant advised that all corrections are due within 30 days, or the application may be withdrawn.

Exit interview conducted, and report was reviewed with the Applicants, Carol Farhoud.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE: DATE: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/05/2024
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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