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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100875
Report Date: 03/18/2025
Date Signed: 03/18/2025 10:57:54 AM

Document Has Been Signed on 03/18/2025 10:57 AM - 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:HAMDARD, KHALID FAMILY CHILD CAREFACILITY NUMBER:
376100875
ADMINISTRATOR/
DIRECTOR:		KHALID HAMDARDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 771-5592
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
03/18/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:25 AM
MET WITH:Khalid HamdardTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
NARRATIVE
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On 3/18/25 at 10:25 AM, Licensing Program Analysts (LPAs) Annette Sutherland & JC Valdez conducted a case management inspection because a deficiency was observed during today’s other inspection. Present in the home was the Licensee, younger brother Noor Hamdard and helper Mohammad Hamdam.

LPA interviewed Licensee and observed 2 cribs in the on-limit bedroom. Both cribs did not have fitted sheets. LPA asked if he could provide a fitted sheet. Licensee stated that he uses a blanket that was in the crib. Helper who drives the children is alone with the children does not have a current CPR card. Based on conducted interviews, observation, and record review, it has been determined that the facility failed to meet regulations. These deficiencies are being cited per the California Code of Regulations, (Title 22, Division 6), and described on the attached LIC 809D. A notice of site visit was given and must remain posted for 30 days. Licensee Rights (LIC 9098 01/16) along with a copy of this report was provided to Licensee Khalid Hamdard. Exit interview conducted and report was reviewed with the licensee Khalid Hamdard.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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Document Has Been Signed on 03/18/2025 10:57 AM - It Cannot Be Edited


Created By: Annette Sutherland On 03/18/2025 at 10:10 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: HAMDARD, KHALID FAMILY CHILD CARE
FACILITY NUMBER: 376100875

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/20/2025
Section Cited
CCR
102425(3)

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102425 INFANT SAFE SLEEP
(3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. This requirement was not met as evidenced by…Based upon observation and interview Licensee didn't not know he needed a fitted sheet. This poses a potential health safety risks to children in care.
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Licensee understands that infants that sleep in cribs must have fitted sheets. Licensee will submit proof of fitted sheet to LPA by 3/20/25 via email to Annette.Sutherland@dss.ca.gov. Licensee will also provide written statement that he understands the safe sleep regulation.
Type B
03/18/2025
Section Cited
CCR
10245(b)

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102425 INFANT SAFE SLEEP
(b) Cribs or play yards shall be free from all loose articles and objects. This requirement was not met as evidenced by......
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 Licensee made correction. Blankets were removed from both crib and pack n play. LPA provided safe sleep regulation and will submit a written statement stating that he understands the safe sleep regulation.
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Based upon observation licensee was using a blanket for infant under 1 year old in the crib. This poses a potential health and safety risk to children in care.
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Type B
04/18/2025
Section Cited
CCR
102416(c)

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102416 ( c ) Personnel Requirements - (c) The licensee...shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement was not met as evidenced by…The requirement was not met as evidenced by the fact that the helper S1did not have first aid and cpr. certifications
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The requirement was not met as evidenced by the fact that the licensee's helper did not have a CPR Training. Licensee's helper (S1). drives children to school. This poses a potential health and safety risk to children in care.
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:Joelle Redding
LICENSING EVALUATOR NAME:Annette Sutherland
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2025


LIC809 (FAS) - (06/04)
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