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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101110
Report Date: 02/03/2023
Date Signed: 02/03/2023 03:50:04 PM

Document Has Been Signed on 02/03/2023 03:50 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:KANNI, SARAH FAMILY CHILD CAREFACILITY NUMBER:
376101110
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
02/03/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Sarah KanniTIME COMPLETED:
04:00 PM
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On 2/3/23 LPA Annette Sutherland conducted and announced follow-up pre licensing inspection . The purpose of this inspection was to observe the pool fence correction. LPA met with applicant Sarah Kanni and applicants husband Saba Alnajar, also present was applicants minor children. LPA observed 5 ft fence around the pool. LPA also observed issues with the retaining wall being high enough to jump over fence and a step making 1 pool panel not high enough to meet licensing regulations. LPA confirmed with LPM on corrections that are still pending.

The following corrections are needed prior to the issuance of the license:
1. The pool fence must be 5 feet high from every platform (including the retaining wall) .

Once all corrections are made and LPA will return to inspect, a license for 8 children may be granted. Applicant understands that proof of corrections must corrected for Licensing to inspect within 30 days or the application may be denied.

An exit interview was conducted with applicant. Appeal Rights (LIC9058) were given along with the report (LIC809) to the Licensee.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/03/2023
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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