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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101662
Report Date: 04/04/2024
Date Signed: 04/04/2024 09:07:49 AM

Document Has Been Signed on 04/04/2024 09:07 AM - 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:MOHAMMADKHANI, ATEFEH FAMILY CHILD CAREFACILITY NUMBER:
376101662
ADMINISTRATOR/
DIRECTOR:		ATEFEH MOHAMMADKHANIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 908-1222
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/04/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Saba MashayekhiTIME VISIT/
INSPECTION COMPLETED:
09:10 AM
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On 4/4/2024 @ 8:50AM, Licensing Program Analyst (LPA) Nancy Diaz conducted a follow-up prelicensing inspection. The purpose of this inspection is to observe corrections prior to issuing a license. LPA met with applicant's daughter, Saba Mashayekhi.

The following corrections were observed today:

1. Applicant removed the fountain located in the back yard. Ms. Mashayekhi stated that the fountain broke in half and they got rid of it.
2. A barricade was observed installed to make climbing structure inaccessible to children.
3. Two barricades were observed installed to make parts of the yard inaccessible to children.

Photos were taken today for documentation.

All corrections completed. A license for a large family child care home is granted effective today, 4/4/2024.

Maximum capacity (when there is an assistant present): 12 - no more than 4 infants. Capacity 14 - no more than 3 infants with 1 child in Kindergarten or elementary school and 1 child at least age 6.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2024
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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