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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846557
Report Date: 04/15/2024
Date Signed: 04/15/2024 08:47:46 AM

Document Has Been Signed on 04/15/2024 08:47 AM - 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:
04/15/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Rakan Alsbou, ApplicantTIME VISIT/
INSPECTION COMPLETED:
08:45 AM
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On the date and time listed above Licensing Program Analysts (LPAs) Giselle Carbullido and Patricia Berry arrived at the facility to conduct a follow up Pre-licensing inspection for corrections needed for pool area. Present during this inspection were: Rakan Alsbou, Applicant. LPAs toured the facility, inside and out and the following was observed and/or discussed:

Initial pre license visit was conducted on 03/29/2024 with a subsequent pre license visit conducted to review correction needed for pool area: 5ft fence around entire pool, however only half of the pool had a 5 foot fence.

During today’s visit, LPAs took measurements and confirmed pool is enclosed by a 5- foot fence all around the pool with a swing away, self-latching gate.

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 Applicant advised that all corrections are due within 30 days, or the application may be withdrawn.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 Applicant, Rakan Alsbou.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE: DATE: 04/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/15/2024
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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