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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100590
Report Date: 09/22/2023
Date Signed: 09/22/2023 11:46:23 AM

Document Has Been Signed on 09/22/2023 11:46 AM - 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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:AHMED, HAWA FAMILY CHILD CAREFACILITY NUMBER:
376100590
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
09/22/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Hawa AhmedTIME COMPLETED:
11:55 AM
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On 9/22/23 at 11:15 AM, Licensing Program Analysts (LPAs) Keturah Lane and Renita Rodriguez conducted a case management visit with the Licensee for capacity increase. Upon arrival, LPAs toured the home. There were no children in care at the time. Licensee stated she had daycare children arriving in the afternoon after school.

Licensee has obtained landlord consent to care for 14 children. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was received on 8/23/23 for capacity of 14 children. LPAs also conducted an annual inspection today and there were no deficiencies cited.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for childcare include: living room, bedroom #1, bathroom and kitchen. Off limits areas include: bedroom #2, bedroom #3, bedroom #4, 2nd living room and master bedroom which includes another bathroom (upstairs) and are inaccessible through use of door-knob covers and safety gate. The staircase is inaccessible as it is through the 2nd living room made inaccessible by a safety gate. The backyard is off-limits. Licensee states she takes the children to a nearby park for outdoor activities and understands visual supervision is required at all times.

No deficiencies are cited. No corrections are needed; a license for 14 may be issued upon final file review. Exit interview conducted and report was reviewed with Licensee Hawa Ahmed.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2023
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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