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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101148
Report Date: 09/16/2022
Date Signed: 09/16/2022 02:07:56 PM

Document Has Been Signed on 09/16/2022 02:07 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:ALBATRA, MERVAT FAMILY CHILD CAREFACILITY NUMBER:
376101148
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/16/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Applicant, Mervat Albatra TIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA), Jennifer Lott, conducted an announced Pre-Licensing Follow Up Inspection to verify corrections. LPA was greeted at the front door by Mervat Albatra and granted entry after identifying herself and disclosing the purpose of her visit.

The applicant has applied for a capacity of eight (8). The home consists of three bedrooms (3) and two (2) bathrooms. The applicant will be using the following areas for daycare: Living room, dining room, kitchen bedrooms 1-3 and bathrooms 1-2 and backyard garden area only. Off limit areas include: Front yard and garage. Outdoor play area is fenced.

All bodies of water are secured and meet Title 22 regulations with black colored fencing measuring 5ft in height, not obscuring the pool from view. The gate to the pool swings away and when released self latches.

Missing drain covers have been replaced and are no longer a hazard.

All requirements have been met. A license for 8 will be granted after final file review. A exit interview was conducted and a copy of this report was provided to the applicant.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2022
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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