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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100057
Report Date: 12/30/2024
Date Signed: 12/30/2024 02:06:57 PM

Document Has Been Signed on 12/30/2024 02:06 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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:DIOP, KOUMBA FAMILY CHILD CAREFACILITY NUMBER:
376100057
ADMINISTRATOR/
DIRECTOR:		KOUMBA DIOPFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 583-3850
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
12/30/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Koumba DiopTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
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On December 30 2024, at 1:20 PM Licensing Program Analyst (LPA) Sherlynn Banas conducted an unannounced Case Management inspection for the purpose of providing an Amended report originally provided on October 31, 2024. At arrival LPA met with licensee, Koumba Diop. There were 5 children present at the time of inspection. There were 20 enrolled children.

Exit interview conducted and report was reviewed with the licensee, Koumba Diop. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE: DATE: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/30/2024
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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