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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101580
Report Date: 02/15/2024
Date Signed: 02/15/2024 02:47:36 PM

Document Has Been Signed on 02/15/2024 02:47 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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:KHAWARY, ZAHRA FAMILY CHILD CAREFACILITY NUMBER:
376101580
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 0DATE:
02/15/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Zahra KhawaryTIME COMPLETED:
03:00 PM
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On 2/15/2024 at 1:45 PM, Licensing Program Analyst (LPA) Sherlynn Banas conducted an unannounced case management inspection for the purpose of increase in capacity. Fire clearance was granted by the San Diego Fire Department on 02/06/2024.

There were no children present in care today. According to licensee, she has 7 children in her care. LPA conducted a tour of the day care areas during the inspection. The following areas are used for childcare: living room, dining area, kitchen, bathroom, and backyard. Off limit areas are all rooms in the second floor which is barricaded by a gate going upstairs.

Facility has an operating smoke and carbon monoxide detector in one. There is a fully charged fire extinguisher size 2A10BC located in the kitchen. Facility has an updated roster, and a copy of the roster was obtained today. Licensee last conducted a fire drill with the children in care on 1/26/2024. Children's files were reviewed today are complete.

Facility is within substantial compliance and licensee owns the home and able to care for up to 14 children. A large license is granted effective today.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2024
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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