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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
343624236
Report Date:
03/19/2025
Date Signed:
03/19/2025 03:12:03 PM
Document Has Been Signed on
03/19/2025 03:12 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:
ALUBAYDI, IMAN & SANDOGHCHI, SAINA
FACILITY NUMBER:
343624236
ADMINISTRATOR/
DIRECTOR:
ALUBAYDI, IMAN
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(858) 717-4222
CITY:
SACRAMENTO
STATE:
CA
ZIP CODE:
95834
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
9
DATE:
03/19/2025
TYPE OF VISIT:
Case Management - Incident
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
02:50 PM
MET WITH:
Saina Sandoghchi and Iman Alubaydi
TIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On March 19th 2025 Licensing Program Analyst (LPA) Mandie Goodwin met with licensees Iman Alubaydi and Saina Sandoghchi to follow up on an unusual incident that was reported on 3/3/2025. Upon arrival 9 children were present supervised by two adults.
No deficiencies were cited based on today's investigation. Exit interview was conducted with Licensees Iman and Saina. Notice of Site visit was provided.
SUPERVISORS NAME
:
Seychelle De Luca
LICENSING EVALUATOR NAME
:
Mandie Goodwin
LICENSING EVALUATOR SIGNATURE
:
DATE:
03/19/2025
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/19/2025
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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