<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021074
Report Date: 10/23/2023
Date Signed: 10/23/2023 02:19:56 PM

Document Has Been Signed on 10/23/2023 02:19 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ALRAHELI FAMILY CHILD CAREFACILITY NUMBER:
198021074
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
10/23/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Arwa Alraheli, LicenseeTIME COMPLETED:
01:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced Plan of Correction (POC) inspection to the above facility on 10/23/23 to ensure Type A and B deficiencies cited on 10/04/23 have been cleared. LPA arrived at the facility at 11:45 AM and met with Licensee's assistant, Zaina Hadi. Upon LPA's arrival to the facility licensee was not present in the home. At 12:10 PM licensee, Arwa Alraheli arrived to the facility who stated she took her children to a Doctor appointment. Licensee guided analyst on a tour of the facility. LPA observed six children were present in the home, three being infants with licensee's assistant in the living room, getting ready to take nap.

The following has been observed:
- Staff ratio and capacity has been met. During this inspection six children were present in the home with licensee's assistant, three being infants.
- At 12:00 PM LPA observed inflatable pool was removed from backyard and LPA did not observe any body's of water on the premises during this inspection.
- LPA observed child safety latches were installed in the kitchen and bathroom which make cleaning compounds, detergent and sharp items inaccessible to the children. LPA did not observe knives on the kitchen cabinet.
- LPA did not observe any rocker in the home during this inspection. Per licensee, she removed it from her home effective 10/04/23.
- LPA was provided proof of TB Test for licensee's assistant, Zaina Hadi .
- LPA was provided with proof of immunization against Measles (MMR), Pertussis (TDAP) and Influenza for licensee's assistant, Aina Hadi.
- Current roster of children was provided.
- During this inspection LPA observed TB Test Clearance for all adults residing in the home.
- LPA reviewed six present children files and all files were completed.
REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2023
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALRAHELI FAMILY CHILD CARE
FACILITY NUMBER: 198021074
VISIT DATE: 10/23/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Acknowledgement forms were observed for all children in care.

LPA cleared deficiencies on this date and provided a copy of the Licensing Report to Arwa Alraheli, Licensee and issued POC clearance letter.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today from the areas that were inspected today.



The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Licensee, Arwa Alraheli at 1:00 p.m..


REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2