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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629254
Report Date: 08/14/2024
Date Signed: 08/14/2024 03:41:39 PM

Document Has Been Signed on 08/14/2024 03:41 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:ALAWAD, MOHAMED FAMILY CHILD CAREFACILITY NUMBER:
376629254
ADMINISTRATOR/
DIRECTOR:		MOHAMED ALAWADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 317-3473
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
08/14/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Mohamed AlawadTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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On August 14, 2024 at 2:15 PM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a case management inspection regarding an observed deficiency. LPA advised Licensee Mohamed Alawad of the inspection's purpose and they granted LPA facility entry. Present in the home was the licensee and six (6) daycare children, ages 1 year, 2 years, 6 years, 8 years, 9 years and 11 years. (See LIC 811 Confidential Names. The licensee's friend, Marwan Alnsheiwati came to the facility to provide Arabic translation.

The daycare is licensed for fourteen (14) children. On 08/08/2024, LPA interviewed Licensee via Focus Language International translator 6874. Licensee stated that that they do not have a helper. Obtained documentation demonstrated that on the following dates, the licensee cared for fourteen (14) children without a helper:

07/01/2024; 07/02/2024; 07/03/2024; 07/04/2024; 07/05/2024; 07/08/2024; 07/09/2024; 07/10/2024; 07/11/2024; 07/12/2024; 07/15/2024; 07/16/2024; 07/17/2024; 07/18/2024; 07/19/2024; 07/22/2024; 07/23/2024; 07/24/2024; 07/25/2024; 07/26/2024; 07/29/2024; 07/30/2024; 07/31/2024.

The Licensee confirmed they cared for fourteen (14) children without a helper in the month of July 2024. During the month of July 2024, the Licensee exceeded ratio by providing care for over eight (8) children without the assistance of a helper. The Licensee acknowledged caring for over eight (8) children without a helper. The Licensee and LPA discussed capacity/ratio for large Family Child Care homes. The capacity/ratio pamphlet and CCR 102416.5 were provided to the Licensee.

A deficiency was observed as per California Code of Regulations, (Title 22, Division 12 & Chapter 3), and is being cited on the attached LIC 809-D.

LPA Jo Ann Legaspi informed licensee Mohamed Alawad that this report dated (08/14/2024) documents one

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ALAWAD, MOHAMED FAMILY CHILD CARE
FACILITY NUMBER: 376629254
VISIT DATE: 08/14/2024
NARRATIVE
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(1) Type A citation. This Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Legaspi informed the licensee to provide a copy of this licensing report dated (08/14/2024) that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. LPA provided Licensee with one (1) blank LIC 9224 form.

The Notice of Site Visit (LIC 9213) was provided to the Licensee, which is to be posted at the facility for 30 days. LPA observed form LIC 9213 posted. An exit interview was conducted with Licensee Mohamed Alawad. Appeal Rights (LIC 9098 01/16) along with a copy of this report was provided to the Licensee and their signature on this form confirms receipt of these rights.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/14/2024 03:41 PM - It Cannot Be Edited


Created By: JoAnn R Legaspi On 08/14/2024 at 03:16 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: ALAWAD, MOHAMED FAMILY CHILD CARE
FACILITY NUMBER: 376629254

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/20/2024
Section Cited
CCR
102416.5(d)

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Staffing Ratio & Capacity - “ … For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home …” This requirement was not met as evidenced by:
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Licensee has obtained a helper and transferred their clearance to the license on 08/12/24. Licensee said he will not care for more than 8 children without a fully qualified helper. LPA gave Licensee with a copy of CCR 102416.5 and the ratio/capacity worksheet. Licensee & LPA reviewed these documents together. The
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The facility is licensed for 14 children and has no assistant. In July 2024, the Licensee cared for more than 8 children without an assistant. Based on interviews and record reviewed the Licensee did not ensure the daycare’s legal ratio, which poses as an immediate risk to children in care.
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Licensee said he will give LPA with a written statement acknowledging an understanding of this code section and legal ratio. Licensee said he will give LPA a written statement on how they will only care for no more than eight (8) children without a fully qualified helper. Licensee agrees to give LPA with both these written statements no later than 08/20/2024.


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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:Tulam Vu
LICENSING EVALUATOR NAME:JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2024


LIC809 (FAS) - (06/04)
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