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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101083
Report Date: 06/15/2022
Date Signed: 06/15/2022 10:30:19 AM

Document Has Been Signed on 06/15/2022 10:30 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ALZERKANY, METHAK FAMILY CHILD CAREFACILITY NUMBER:
376101083
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
06/15/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Methad AlzerkanyTIME COMPLETED:
10:35 AM
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On 06/15/2022 at 09:50am, Licensing Program Analyst (LPA) Selina Siao conducted an unannounced pre licensing follow up visit to ensure the required corrections dated on 05/31/2022 report has been corrected.

The following items has been corrected by applicant.

The two fire places at the home screens has been tied up to prevent children's access.
All required postings have been posted at the home at a prominent area
  • Safety devices has been installed for the four sliding doors that leads to the off limit deck area
  • latch has been installed in the kitchen areas that has sharp objects.
  • The patio fence deck area is now safe to care for children
  • The side alley area located at the deck has been blocked to prevent children access to the off limit deck areas.
  • All the alcohol bottles located at the bar cabinet has been removed
  • Applicant has purchased some toys and equipment for day care children.
  • There is a safety gate at the stairs to prevent access to the off limit downstair area.
  • The home has a fully charged fire extinguisher size 2A10BC
  • There is a spa located down stairs by the master bedroom that has a cover with lock and the cover can withhold the weight of an adult.


The home appears to be in substantial compliance and a license will be granted today.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2022
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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