<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100905
Report Date: 04/19/2023
Date Signed: 04/19/2023 05:05:58 PM

Document Has Been Signed on 04/19/2023 05:05 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:TAHSIL DOST, AMINA & SHAKIR FAMILY CHILD CAREFACILITY NUMBER:
376100905
ADMINISTRATOR:AMINA & SHAKIR T.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 494-7305
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 14TOTAL ENROLLED CHILDREN: 16CENSUS: 3DATE:
04/19/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Licensee, Amina Tahsil Dost TIME COMPLETED:
03:55 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Jennifer Lott conducted a Plan of Correction visit regarding deficiencies that were cited on 04/06/2023. LPA was greeted at the front door by Licensee, Amina Tahsil Dost and was granted entry after identifying herself and disclosing the reason for the visit.

During today’s visit, LPA reviewed children's files and roster.

Since the 9:9 children's files and facility roster have been corrected, this deficiency was cleared during the visit. Exit interview was conducted and report was reviewed with Licensee, Amina Tahsil Dost. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1