376102461-5-20-2026-51-CC-HCAN-DU9U6J-20260520151824

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376102461
Report Date: 05/20/2026
Date Signed: 05/20/2026 03:19:34 PM

Document Has Been Signed on 05/20/2026 03:19 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:	ALHAMOUD, NAWAF FAMILY CHILD CARE		FACILITY NUMBER:	376102461
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 4	DATE:	05/20/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:45 PM
MET WITH:	Nawaf Alhamoud		TIME VISIT/ INSPECTION COMPLETED:	03:30 PM

NARRATIVE

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On May 20, 2026 at 1:45 PM, Licensing Program Analysts (LPAs) Hector Canton arrived unannounced at the Family Child Care Home operated by Licensee Nawaf Alhamoud to conduct the required annual inspection and to approve a request capacity change from 8 to 14. LPA identified themselves, stated the purpose of the visit, and were granted entry. Present during today’s inspection were four day care children. Also present in the home was the licensee’s father (Mohamad Alhamoud), mother (Kafi Althahab), and sister (Israa Alhamoud).

The 3-bedroom, 2-bathroom single-family home was toured to evaluate compliance with Title 22 regulations and to ensure the continued health and safety of children in care. Child care areas include the kitchen, living room, bathroom 1 and dining room. The rest of the home including the three bedrooms and the ensuite bathroom are made inaccessible with a door knob cover.Heating, lighting, and ventilation were adequate throughout licensed care areas, and the home was clean, orderly, and maintained in good repair. A working telephone was available for emergency use.

Age-appropriate toys, materials, furnishings, and play equipment were observed to be in good condition and free of obvious hazards. The outdoor area is a local park or recreation area, and the licensee understands that supervision is always required when outdoors. The licensee confirmed that no firearms are stored in the home. Cleaning compounds, detergents, medications, and other hazardous items were stored in a manner that made them inaccessible to children.

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Hector Canton
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: ALHAMOUD, NAWAF FAMILY CHILD CARE	FACILITY NUMBER: 376102461
	VISIT DATE: 05/20/2026

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The fire extinguisher was observed in the kitchen. The smoke detector and carbon monoxide detector was observed throughout the home. All devices were tested and found operational. Emergency exit routes were clear of obstruction. A designated isolation area for children who become ill during the day was identified in living room. No prohibited equipment, including walkers, exersaucers, jumpers, or bouncers, were observed in the home. All equipment in care was used only as intended by the manufacturer.

LPA reviewed children’s records and verified that emergency information, immunization records, and required notices were present and complete. A current facility roster was maintained. The last fire drill was conducted in January 2026. Required postings, including the facility license and Parents’ Rights Notification, were observed and accessible to parents and guardians.

LPA reviewed adult resident records and verified that all adults living or working in the home have obtained fingerprint clearance and are associated to the facility. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee has current CPR and Pediatric First Aid certificate, expiring in April 2028. The licensee’s is exempt from the mandated reporter training as Arabic is their primary language, at the time of visit, the training is only provided in English and Spanish. Licensee is aware of their requirement to report suspected child abuse.

LPA observed a crib with a pillow and blanket that is used by the infant in care. LPA advised that the cribs must remain clear of any and all loose articles, including but not limited to anything hanging overhead or on the sides. LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for and removing any recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Hector Canton
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026

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: ALHAMOUD, NAWAF FAMILY CHILD CARE	FACILITY NUMBER: 376102461
	VISIT DATE: 05/20/2026

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website, a consumer education resource connecting families to child care providers and Resource and Referral Agencies across California. LPA also provided the Child Care Advocates Program email at childcareadvocatesprogram@dss.ca.gov and advised that the Child Care Duty Line at (619) 767-2248 is available for licensing questions.

A type B violations were observed during today’s inspection and cited on LIC 809-D in regards to Title 22 regulations governing Family Child Care Homes. Upon a final file review, an updated license to care for 14 children may be issued.

A Notice of Site Visit was issued and must remain posted for 30 days. An exit interview was conducted with the licensee Nawaf Alhamoud and this report was reviewed in its entirety. A copy of the report was provided, and appeal rights were issued. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living at the facility address and LPA completed the Registered Sex Offender (RSO) profile in FAS.

To improve the quality and value of the inspection process, a survey may be sent to the email address provided. If received, please complete the survey. If there are any questions about this inspection or the CARE tools, inquiries may be sent to inspectionprocess@dss.ca.gov. Additional information regarding the inspection process and tools can be found at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Hector Canton
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/20/2026 03:19 PM - It Cannot Be Edited

Created By: Hector Canton On 05/20/2026 at 03:13 PM

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: ALHAMOUD, NAWAF FAMILY CHILD CARE	FACILITY NUMBER: 376102461
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/20/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(b)

Infant Safe Sleep

(b) Cribs or play yards shall be free from all loose articles and objects. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited as pillows and blankets where observed in the crib used by infants which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/27/2026
	Plan of Correction
1 2 3 4	Licensee was observed removing the pillows and blankets from the crib and will continue to follow safe sleeping regulation going forward as of May 27, 2026.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Renesha Askew
NAME OF LICENSING PROGRAM MANAGER:

	Hector Canton
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/20/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026

LIC809 (FAS) - (06/04)

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