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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105044
Report Date: 06/21/2021
Date Signed: 06/21/2021 07:55:01 PM

Document Has Been Signed on 06/21/2021 07:55 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:MEDINA LEARNING CENTER LLCFACILITY NUMBER:
376105044
ADMINISTRATOR:ALICIA CASTROFACILITY TYPE:
840
ADDRESS:6066 1/2 UNIVERSITY AVENUETELEPHONE:
(619) 906-4177
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 15TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
06/21/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
04:20 PM
MET WITH:Anab Hade, Rahmo Abdi, Sharifa Osman and Naima DhagahTIME COMPLETED:
05:40 PM
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On 06/21/2021 at 04:20 PM, Licensing Program Analysts (LPA) Selina Siao met with Anab Hade (applicant), Rahmo Abdi (Union Representative/Somali translator), Sharifa Osman (School Age Director) and Naima Dhagah. This meeting was completed via video conferencing Zoom. The purpose of today's meeting is to review the LIC184D together and clarify anything that Applicant had questions on.

LPA Selina Siao reviewed entire application and observed that the following areas needed updating/correcting: LIC200A, LIC403, LIC404, LIC500, LIC610, missing documents for newly hired Director Sharifa Osman, job description for each position and personnel policies, parent handbook/admission agreement and sample manu portion. LPA discussed all areas in detail with Applicant through Union Representative Rahmo Abdi. Applicant confirmed she will submit all discussed corrections to LPA no later than 07/16/2021.

A copy of this report was reviewed and will be e-mailed to Applicant Anab Hade and Union Representative Rahmo Abdi. LPA advised that a response to the email confirming receipt is to be received within twenty-four hours. This will act as her signature on today’s report.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2021
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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