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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100947
Report Date: 02/02/2022
Date Signed: 02/02/2022 09:07:37 PM

Document Has Been Signed on 02/02/2022 09:07 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:SABRI, LYDYA FAMILY CHILD CAREFACILITY NUMBER:
376100947
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
02/02/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Applicant, Lydya Sabri TIME COMPLETED:
12:55 PM
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Licensing Program Analysts (LPAs) Jennifer Lott and Saraliz Velando conducted a Pre Licensing Follow Up visit to confirm corrections had been made in order to issue a new Family Child Care Home License. LPAs were greeted at the front door by Applicant, Lydya Sabri and granted entry after identifying themselves and disclosing the purpose of their visit.

LPAs verified the pool fence and the purchase of a First Aid kit. All corrections have been made, therefore, a license for eight (8) children will be granted. Applicant agreed to comply with all regulations and laws governing Family Child Care Homes.

Exit interview conducted and report was reviewed with applicant, Sabri.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2022
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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