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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300371
Report Date: 09/08/2022
Date Signed: 09/08/2022 10:38:27 AM

Document Has Been Signed on 09/08/2022 10:38 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:SHENOUDA FAMILY CHILD CAREFACILITY NUMBER:
336300371
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
09/08/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Nesreen ShenoudaTIME COMPLETED:
10:40 AM
NARRATIVE
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Licensing Program Analyst (LPA) Alaina Wilburn and Licensing Program Manager (LPM) Stephanie Hudak conducted an Informal Office Conference with Licensee, Nesreen Shenouda. The purpose of this meeting is to discuss violations of Title 22 and Health and Safety Regulations pertaining to violations of Operation of a Family Child Care Home and Criminal Record Clearance.

LPM Hudak reminded Ms. Shenouda of how important regulatory compliance is in licensed facilities to protect the Health and Safety of children in care. Ms. Shenouda has been informed that the Licensing Agency takes violations seriously, and how the violations can lead to the Department seeking legal consultation regarding the status of the license.

On 7/06/2022, the facility was cited two Type A citations. The licensee left the country from around 6/14/2022, returning on 7/25/2022, leaving an assistant in charge of the facility. The assistant left in charge of the facility had not had their fingerprint clearance associated to the facility, resulting in a $500 civil penalty.

California Code of Regulations Section 102417(a) Operation of a Family Child Care Home and Section 102370(d)(2) Criminal Record Clearance was reviewed with Ms. Shenouda. Copies of these Regulations were also provided to Ms. Shenouda during the meeting.

The licensee agrees to contact Riverside County Office of Education, Resource and Referral to participate in formal training regarding Administration and Supervision in Operating a Family Child Care Home. Licensee was provided 90 days to complete the training.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE: DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: SHENOUDA FAMILY CHILD CARE
FACILITY NUMBER: 336300371
VISIT DATE: 09/08/2022
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Nesreen Shenouda, Licensee, has been advised that continued occurrences may result in a formal non-compliance conference or legal consultation regarding the facility’s operation.


A copy of this report was provided to Ms. Shenouda on this date.3
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022
LIC809 (FAS) - (06/04)
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