343624231-4-22-2026-03-CC-SMAX-DTDRTS-20260422131848

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343624231
Report Date: 04/22/2026
Date Signed: 04/22/2026 01:18:51 PM

Document Has Been Signed on 04/22/2026 01:18 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	ALOTHMAN, DAHAAM		FACILITY NUMBER:	343624231
ADMINISTRATOR/ DIRECTOR:	ALOTHMAN, DAHAAM		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 825-3875
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 4	DATE:	04/22/2026
TYPE OF VISIT:	POC	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:35 PM
MET WITH:	Dahaam Alothman		TIME VISIT/ INSPECTION COMPLETED:	01:45 PM

NARRATIVE

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On 04/22/2026 Licensing Program Analyst (LPA) Soleil Marx met with the licensee, Dahaam Alothman, for the purpose of conducting an unannounced plan of correction inspection. During today's inspection, two day care children were present being supervised by the licensee as well as the licensee's two own minor children under the age of 10.

The facility was issued two type A citations on 04/13/2026 under CCR 102417(g)(4) and CCR 102425(b) for having hazardous items accessible to day care children and for having the play yard for infant safe sleep full of articles/objects used as storage. During today's inspection LPA observed a play yard for safe sleep within the home free of loose articles and objects and observed hazardous items were stored inaccessible to children in locked cabinets/closets and high out of reach areas. LPA determined the facility has met their plan of correction; LPA has cleared the citation by visit.

The facility was also cited 04/13/2026 for type B violations under CCR 102425(j)(2)(D)(c) and CCR 102417(g)(8) and CCR 102421(a) for not having children's files, a children's roster, and infant 15 minute sleep checks documented. During today's inspection, LPA reviewed records and observed children's files were complete with the required licensing forms/documentation, 15 minute sleep logs were conducted/documented for infants enrolled, and a children's roster maintained/completed. LPA determined the facility has met their plan of correction; LPA has cleared the citation by visit.

LPA also observed records for licensee verifying approved CPR/first aid course was completed and is valid until 04/2028.

No citations were issued as a result of today's inspection. LPA provided licensee with letters of deficiency cleared for the cleared/corrected citations. Exit interview conducted and report reviewed with Licensee. A notice of Site Visit was provided and must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Seychelle De Luca
NAME OF LICENSING PROGRAM ANALYST: Soleil Marx
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/22/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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