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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101468
Report Date: 03/18/2025
Date Signed: 03/18/2025 09:59:19 AM

Document Has Been Signed on 03/18/2025 09:59 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:HAMDARD, FATIMA FAMILY CHILD CAREFACILITY NUMBER:
376101468
ADMINISTRATOR/
DIRECTOR:		FATIMA HAMDARDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 493-9229
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
03/18/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:01 AM
MET WITH:Fatima and Hamidullah HamdardTIME VISIT/
INSPECTION COMPLETED:
10:10 AM
NARRATIVE
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On 3/18/2025 @ 9:0!AM, Licensing Program Analysts (LPAs) Nancy Diaz and Jody Dye conducted an unannounced case management inspection. LPAs met with licensee Fatima Hamdard and her husband Hamidullah Hamdard. LPAs observed Mrs. Hamdard leaving to drop off 3 children to school. Mr. Hamdard was observed providing care to two children (1 daycare child under 2 years and their own 4 y.o. child). A tour of the home was conducted. LPAs reviewed children's files and was provided a copy of the Children's Roster today.

Type B deficiencies were cited today. Type B deficiency if not corrected poses a potential risk to the health, safety or personal rights of children in care.

Exit interview was conducted with Mrs. Fatima. A copy was reviewed and provided today. Appeal rights were also given. Notice of site visit was be posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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 2
Document Has Been Signed on 03/18/2025 09:59 AM - It Cannot Be Edited


Created By: Nancy Diaz On 03/18/2025 at 09:13 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: HAMDARD, FATIMA FAMILY CHILD CARE
FACILITY NUMBER: 376101468

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/25/2025
Section Cited
CCR
102425(c)

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INFANT SAFE SLEEP
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file.
This requirement was not met as evidenced by:
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Mr. Hamdard stated that he will help wife obtain completed safe sleep plan from the parents and submit to the department no later than 3/25/2025.
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Based on file review, licensee did not maintained infant safe sleep plan for two children (under one year old) on file.
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Type B
03/25/2025
Section Cited
CCR102425(j)(1)(2)

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INFANT SAFE SLEEP PLAN
(1)The provider shall physically check on the infant every 15 minutes.
(2) The provider shall check and document...

This requirement was not met as evidenced by:
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Licensee stated that she will start documenting the infants' 15 minute nap log checks. LPAs observed Mrs. Hamdard conducting and documenting the 15-minute nap checks on one child in care today. Licensee shall submit copies of the 15-minute logs to the department no later than 3/25/2025.
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Based on file review, the licensee failed to document the 15-minute nap checks.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Joelle Redding
LICENSING EVALUATOR NAME:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2025


LIC809 (FAS) - (06/04)
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