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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101108
Report Date: 06/27/2022
Date Signed: 07/14/2022 08:25:49 AM

Document Has Been Signed on 07/14/2022 08:25 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:ALAWAD, SHAHA FAMILY CHILD CAREFACILITY NUMBER:
376101108
ADMINISTRATOR:SHAHA ALAWADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 569-8245
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
06/27/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Shaha AlawadTIME COMPLETED:
04:45 PM
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On 6/27/22 at 2:45 PM Licensing Program Analyst (LPA), Adrian Mangina, conducted an announced Pre-Licensing Change of Location Inspection for a large family child care home with the Licensee, Shaha Alawad. Also in the home was Licensee’s mother Sabah Alawad, adult brother Anwar Alawad and father Faisal Alawad, and 2 minor sibling one of whom who assisted with translation. Licensee owns the home and has provided proof of control of property. The 4 bedroom, 2 bath, three story home was toured and inspected to ensure an environment safe for the care and supervision of children. The 2A10BC fire extinguisher, smoke alarm and carbon monoxide detector, all located in the kitchen meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There is a hot tub in the back yard which does not have a locking cover that can hold the weight of an adult. Licensee states that the hot tub will not be used for children in care. LPA advised licensee needs to secure the hot tub per bodies of water regulations before License will be issued. Licensee will use the neighborhood park for outdoor activities. Applicant understands visual supervision is to be maintained at all times during outdoor activities. Applicant states that there are no weapons in the home and has certified on the application they have sufficient financial resources to sustain the license. Licensee owns home and has provided a copy of the mortgage payment receipt as proof of control of property. Fire Clearance was granted 5/10/22.

First Aid and CPR expire 9/2023 and assistant’s First Aid and CPR expires 1/24/2023. Licensee’s preventative health practices course was completed on 06/16/2019. Applicant and assistant are exempt from Mandated Reporter Training AB 1207, as primary language is Arabic. Staff immunization requirements per SB792 were met and TB requirements were met. Required documents were not posted and must be before Licensure. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children,


(continued on LIC809 page 2)
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2022
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 4
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, SHAHA FAMILY CHILD CARE
FACILITY NUMBER: 376101108
VISIT DATE: 06/27/2022
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LIC809 page 2)

and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee will be using the following rooms for childcare: Living room, dining area, kitchen and ground level family room. The following areas will be off limits: entire top floor, attached garage and front and back yards. Off-limit areas are made inaccessible through use of gates ,locks, and safety latches. The Applicant has safe, age appropriate toys and equipment available for children.
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The new provider packet was reviewed with the applicant including information on ratios and capacity, child abuse reporting, children’s records, immunizations, adults living or working in the home, car seat law, shaken baby syndrome, SIDS, safe sleep practices, effects of lead poisoning, and the YMCA Resource Center. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, jumpers, and bouncy seats are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided applicant with the following information:
· Child Care Advocates - email address childcareadvocatesprogram@dss.ca.gov.
· For common questions or questions regarding licensing requirements to contact the Child Care Licensing duty line at 619-767-2248.

LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Licensee of the importance of checking for recalled infant devices on

(continued on LIC809 page 3)
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4
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, SHAHA FAMILY CHILD CARE
FACILITY NUMBER: 376101108
VISIT DATE: 06/27/2022
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(LIC809 page 3)

the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information , see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA reviewed with licensee, the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Applicant owns home and, when assistant is present may care for up to 14 children, including any children living in the home under ten years old as long as there are two school aged children enrolled (with one enrolled in kindergarten).

(Continued on LIC809 page 4)
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4
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, SHAHA FAMILY CHILD CARE
FACILITY NUMBER: 376101108
VISIT DATE: 06/27/2022
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(LIC809 page 4)

The following corrections are needed prior to the issuance of the license:

1) Install locking cover that holds the weight of and adult on hot tub in back yard.
2) Licensee must post all required documents
3) Licensee must install second gate on bottom of stairway that leads to family room.

Applicant understands that corrections must be submitted to the Department within 30 days, no later than 7/26/22 or the application may be denied.



Exit interview conducted and report was reviewed with the licensee, Shaha Alawad..
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4