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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101108
Report Date: 07/19/2022
Date Signed: 07/19/2022 01:16:31 PM

Document Has Been Signed on 07/19/2022 01:16 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: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: 0DATE:
07/19/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Shaha AlawadTIME COMPLETED:
01:30 PM
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On 7/19/22 at 1:00 PM Licensing Program Analysts (LPAs) Adrian Mangina and Saraliz Velando conducted a Plan of Correction visit to the child care home to follow-up on change of location prelicensing visit conducted on 6/27/22. LPA Aya Aljabar, sister-in-law provided translation.

LPA verified that the following are completed:

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

No deficiencies were cited during this visit.

Exit interview conducted. LPAs reviewed and provided Licensee, Shaha Alawad with a copy of this report. License will be issued.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2022
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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