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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101448
Report Date: 02/08/2024
Date Signed: 02/08/2024 12:29:55 PM

Document Has Been Signed on 02/08/2024 12:29 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:ALNAES, MOHAMADAWAD FAMILY CHILD CAREFACILITY NUMBER:
376101448
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
02/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Mohamadawad AlnaesTIME COMPLETED:
12:45 PM
NARRATIVE
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On 2/8/2024 @ 12:00PM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced case management inspection in reference to licensee's request for an increase of capacity to 14 children. Fire marshall clearance was granted on 10/18/2023 by the El Cajon Fire Department.

A tour of the home was conducted. Children will have access to the front yard, living room, dining, kitchen and hallway bathroom.

Licensee maintains a regulation-size fire extinguisher, carbon monoxide detector and smoke detector.

Type B deficiency was cited today. Type B deficiency if not corrected poses a potential risk to the health, safety or personal rights of children in care.

Exit interview was conducted with licensee, Mohamadawad Alnaes. LPA provided a copy of this report, appeal rights and Notice of Site Visit. Notice of site visit must be posted for 30 days.

Licensee must also obtain a signed Landlord consent (LIC 9149) if he wants to obtain a license for 14 children (large license for 12 children plus 2 school-age children).

Increase of capacity shall be approved upon receipt of corrections.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2024
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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Document Has Been Signed on 02/08/2024 12:29 PM - It Cannot Be Edited


Created By: Nancy Diaz On 02/08/2024 at 12:22 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ALNAES, MOHAMADAWAD FAMILY CHILD CARE
FACILITY NUMBER: 376101448

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2024
Section Cited
CCR
102417(d)

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OPERATION OF A FAMILY CHILD CARE HOME. The home shall provide safe toys, play equipment and materials.

This requirement was not met as evidenced by:
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Mr. Alnaes stated that he will remove the trampoline by 2/9/2024. He will submit a photo to the department no later than 2/9/2024.
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Based on observation, a worn-out trampoline (with holes on the side) was accessible to children in the front yard.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Joelle Redding
LICENSING EVALUATOR NAME:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2024


LIC809 (FAS) - (06/04)
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