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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100692
Report Date: 07/26/2023
Date Signed: 07/26/2023 04:20:59 PM

Document Has Been Signed on 07/26/2023 04:20 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:ALTAIE, IKTIFA FAMILY CHILD CAREFACILITY NUMBER:
376100692
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 4DATE:
07/26/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Licensee, Iktifa Altaie TIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Jennifer Lott conducted an unannounced Case Management visit. LPA was greeted at the front door by licensee, Iktifa Altaie and granted entry after identifying herself and disclosed the purpose for her visit. Licensee's daughter, Maryam Altaie provided translating services as the licensee's primary language is Arabic.

The purpose of LPA's visit was to discuss an application which had been received in our office on 01/01/2023 for an increase in capacity. On 05/30/2023, the Fire Marshall denied the fire clearance / capacity increase until further corrections could be made on the home.

At this time, the license will remain at a capacity of eight (8) children. Licensee was advised they could reapply for an increase in capacity once all of their required corrections have been made.

Exit interview conducted and report reviewed with licensee, Iktifa Altaie. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2023
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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