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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625469
Report Date: 02/28/2024
Date Signed: 02/28/2024 02:34:54 PM

Document Has Been Signed on 02/28/2024 02:34 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:ABOU REBIEH, SANAAFACILITY NUMBER:
343625469
ADMINISTRATOR:ABOU REBIEH, SANAAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 495-6216
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/28/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Farah AlmasriTIME COMPLETED:
02:55 PM
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On 2/28/2024, Licensing Program Analyst (LPA), Michelle Perez, met with Licensees daughter/7 assistant Farah Almasri, for the purpose of a pre-licensing, continuation visit, to verify that a pool gate was installed around the perimeter of the pool, and in front of the bedroom windows that are facing the pool. LPA toured the backyard and was guided by assistant to show the installation of the pool fence. The fence is 5' high, self latching and mesh, and completely surrounds the entire pool. During the visit, LPA found that the spa straps were not latching properly to the spa, that is on the side of the house. LPA explained that spa straps must prohibit all four sides from being lifted up to expose the water inside. LPA reviewed appropriate spa straps with assistant.


Updated off limit areas: Master room & bathroom, laundry room and garage AND THE AREA OF THE BACKYARD THAT IS BEYOND THE POOL FENCE. No children are allowed beyond the pool fence, in the corridor that runs in front of bedroom windows. No children are allowed on the side of the house, where the spa is located.
Children are only allowed in the backyard and on the patio area and the side of the house that is connected to the patio.

Pending licensure:

Licensee is in process of fixing broken spa straps, to affix the spa cover to the spa, which will prohibit the spa being opened. Once the spa straps are fixed, licensure will be granted.



SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Michelle Perez
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2024
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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