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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010157
Report Date: 03/27/2024
Date Signed: 03/27/2024 11:52:10 AM

Document Has Been Signed on 03/27/2024 11:52 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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:BARAKAT, MAGY FCCHFACILITY NUMBER:
493010157
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 2DATE:
03/27/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:36 AM
MET WITH:Magy BarakatTIME COMPLETED:
12:01 PM
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A case management inspection was conducted to the facility by Licensing Program (LPA) Amy Strother in response to an increase capacity application received by the Department on 02/29/24 from Licensee, Magy Barakat (L1). The licensee is requesting a capacity of 14. The licensee stated she clearly understand the maximum number of children for whom care can be provided and the limitations on the number of infants (birth to age 2) that may be cared for and when two of the children in care must be school aged, and when an assistant provider must be present. The licensee understands if no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home. A review of staff records indicates that all current facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility was toured inside and outside and files reviewed during an Annual inspection of the facility on today’s date 03/27/24. The facility’s operating hours are 07:30am - 05:00pm, Monday - Friday.

L1’s Pediatric CPR and Pediatric First Aid cards expire 01/2026. There is a functional smoke/carbon monoxide detector and a charged fire extinguisher in the facility. The fire pull station is located in the hallway of the home. The Santa Rosa Fire Department inspected and granted a fire clearance on 03/19/2024.

The increase capacity to 14, as a Large Family Child Care Home is granted as of today, 03/27/2024.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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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