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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101281
Report Date: 07/23/2024
Date Signed: 07/23/2024 01:08:03 PM

Document Has Been Signed on 07/23/2024 01:08 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:GAD, BRIKSAM FAMILY CHILD CAREFACILITY NUMBER:
376101281
ADMINISTRATOR/
DIRECTOR:		BRIKSAM GADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(786) 440-3746
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 1DATE:
07/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Brikasma Gad TIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 7/23/2024 12:40 PM, Licensing Program Analyst (LPA) Gerald Poindexter conducted an unannounced case management inspection. LPA met with the licensee Briksam Gad. Observed present today was one day care child.

The purpose of this inspection is to deliver an amended LIC9099 that was written and delivered on 7/11/24.

There were no deficiencies observed today.

Exit interview was conducted with licensee, Briksam Gad. LPA reviewed and provided a copy of this report with Ms. Gad. Notice of site visit was given and must be posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2024
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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