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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101518
Report Date: 02/09/2024
Date Signed: 02/09/2024 01:23:17 PM

Document Has Been Signed on 02/09/2024 01:23 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:EL QASS BOUTROS, HALA FCCFACILITY NUMBER:
376101518
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 10CENSUS: 3DATE:
02/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Licensee, Hala El Qass BoutrosTIME COMPLETED:
01:25 PM
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LPA Saraliz Velando, conducted an unannounced case management for a capacity increase. This visit is to verify that the licensee remains in substantial compliance with the health & safety standards as required by regulations governing large family childcare homes. LPA met with licensee, Hala El Qass Boutros. LPA observed 3 children in care today. Licensee has all appropriate forms posted. LPA confirmed with licensee that all adults residing/working in the home have criminal record/TB clearances. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was received on 2/1/24.

Licensee will be using the following areas for day care: Living room 1, Dining room, Kitchen, Bedroom 1, Bathroom 1, and Garden. Off-limits areas consist of: Bedroom 2 & 3, Bathroom 2, Front Yard, Pool, and Garage. There is a fireplace in the Off Limits Living Room 2 area that has been screened to be inaccessible to children. Licensee has a pool in the Off Limits Back yard area that is fenced and gated to meet Title 22 regulations. Licensee states that there are no weapons or ammunition in the home and LPA did not observe any. The fire extinguisher size (2A10BC) meets requirements and is fully charged and is located in the kitchen area. The smoke detector and carbon monoxide detector are located in the hallway area, meet department requirements, and are both functional. Licensee’s Pediatric CPR/First Aid is valid through April 2024. Mandated Reporter Training expires March 2025. All adults living or working in the home have been fingerprint cleared and associated and immunization requirements have been met. Outdoor play area is fully fenced and equipped with age-appropriate play equipment and toys.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: EL QASS BOUTROS, HALA FCC
FACILITY NUMBER: 376101518
VISIT DATE: 02/09/2024
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LPA reviewed the following: required departmental documents, regulation highlights, community resources, capacity limitations, supervision, clearances, emergency drills, heat-related illness, child passenger law, unusual incidents, mandated reporting, Assembly Bill 633, SIDS, Safe sleep regulations, Shaken Baby Syndrome, Megan's law and Covid information. Applicant is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation. Any equipment used should only be used according to the manufacturer recommendations. For licensing regulations/updates/forms, go to webpage http://www.ccld.ca.gov

Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

An exit interview was conducted with licensee, Hala El Qass Boutros.

No deficiencies were cited. A large license will be granted upon final file review. A notice of site visit was issued and shall remain posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC809 (FAS) - (06/04)
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