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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343624584
Report Date: 06/19/2024
Date Signed: 06/19/2024 12:52:51 PM

Document Has Been Signed on 06/19/2024 12:52 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:HAIDARY, SUMAYAHFACILITY NUMBER:
343624584
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
06/19/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:10 AM
MET WITH:Sumayah HaidaryTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Gagandeep Singh met with the licensee Sumayah Haidary and the spouse for an inspection. Licensee applied for capacity increase of the facility from eight children to fourteen children in care. After receiving the application, LPA requested the fire inspection from the local fire department.

During today's inspection, LPA inspected the day care areas. No day care children were present today. LPA observed licensee has smoke alarm, carbon monoxide detector and fully charged fire extinguisher on property. Per licensee, licensee own the property. Per licensee, the property was inspected by fire department once already and corrections were requested. Licensee is waiting to get the fire alarm install and have fire department reinspect the facility. During today's inspection, LPA discussed the regulations, capacity and ratio requirements for a large family child care home license.

During today's inspection, LPA did not observe any hazard in the house. LPA informed the licensee that once the Department receive approval from local fire department, the large license with maximum capacity of 14 children will be granted.

Copy of this report was reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Gagandeep Singh
LICENSING EVALUATOR SIGNATURE: DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2024
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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