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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101626
Report Date: 09/07/2023
Date Signed: 09/07/2023 12:44:29 PM

Document Has Been Signed on 09/07/2023 12:44 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:ORAHA, RANDA & NADIR FAMILY CHILD CAREFACILITY NUMBER:
376101626
ADMINISTRATOR:RANDA & NADIR ORAHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 715-8582
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
09/07/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Randa OrahaTIME COMPLETED:
01:15 PM
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On 9/7/23 @ 12:30PM, Licensing Program Analysts (LPAs) Nancy Diaz and Martha Avila conducted an announced follow-up prelicensing inspection. LPAs met with Randa Oraha, applicant. The purpose of this inspection is to observe correction to the pool fencing.

Mrs. Oraha moved the latch to the top. The gate is self-latching (see photos).

License is granted effective today, 9/7/2023.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2023
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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