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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376102048
Report Date: 09/04/2024
Date Signed: 09/05/2024 03:25:53 PM

Document Has Been Signed on 09/05/2024 03:25 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:ALZAHAWAI, RAND FAMILY CHILD CAREFACILITY NUMBER:
376102048
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/04/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 PM
MET WITH:Rand AlzahawaiTIME VISIT/
INSPECTION COMPLETED:
11:30 PM
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On 9/5/24, Licensing Program Analysts (LPA) Victoria Hernandez and Veronica Torres Gonzalez conducted a second pre-licensing inspection with the applicant to approve corrections from the 1st pre-licensing visit on 6/20/24. Upon arrival, LPA was greeted by applicant Rand Alzahawai.

During this visit, LPA observed the following correction the pool has been removed and covered with sand. LPA walked over where the pool was located. LPA observed pool area had no dips in sand, no holes, and was able to hold my weight when walking over.

No corrections are needed. A license for 8 children may be issued upon final file review.

Applicant agreed to comply with all regulations and laws governing family child-care homes.

Exit interview conducted and report was reviewed with the applicant Rand Alzahawai.

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SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Victoria Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 09/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/04/2024
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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