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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100086
Report Date: 10/07/2021
Date Signed: 10/07/2021 11:34:06 AM

Document Has Been Signed on 10/07/2021 11:34 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:BOULES, HADEL FAMILY CHILD CAREFACILITY NUMBER:
376100086
ADMINISTRATOR:HADEL BOULESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 569-8246
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/07/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Hadel BoulesTIME COMPLETED:
11:40 AM
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On 10/7/21 at 10:30 AM, Licensing Program Manager (LPM), Tashima Daniel and Licensing Program Analyst (LPA) Adrian Mangina conducted an office meeting today with Licensee, Hadel Boules. The purpose of this meeting is to discuss the recent allegations and deficiencies and to clarify Department expectations.

Ms. Boules has received multiple complaints between 5/11/2020 to 5/18/2021 with allegations which included: a complaint dated 5/18/2021 with allegations that include: uncleared adult in facility (Type A- substantiated) and was issued a $400 civil penalty, Licensee did not report police presence in the home (Type B- substantiated), and adult in home bit child (unsubstantiated), Child physically abused resulting in injury (unsubstantiated), a complaint dated 3/3/2021 with allegation that included Licensee hits day care child (unsubstantiated), and a complaint dated 5/11/2020 with allegations that Licensee failed to transport day care children in a safe manner (Type B- substantiated) and Licensee does not provide nutritious food for children in care (unsubstantiated). In addition to the three complaints, Licensee was cited during a case management inspection on 5/24/21 for not maintaining children’s records (Type B - substantiated), for not providing a safe sleep environment (Type A- substantiated), for leaving poisons accessible (Type A- substantiated), for not keeping staff records (Type B -substantiated), and for not keeping child records (Type B -substantiated), and for not providing an infant safe sleep equipment (Type A - substantiated). On 8/12/2021 Licensee was issued two repeat violations for: uncleared adult in facility (Type A – substantiated) and for not maintaining staff files (Type B – substantiated) and was issued a total of $700 in civil penalties.

(continued on LIC809 page 2)
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 10/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/07/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BOULES, HADEL FAMILY CHILD CARE
FACILITY NUMBER: 376100086
VISIT DATE: 10/07/2021
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The following Regulations were reviewed and copy of each listed were provided to Licensee: Child Records (Operation of a Child Care Home, Section 102421), Personnel Records (Continuing Requirements, Section 102416.1), Criminal Records Clearances, (Criminal Record Clearances, Section 102370), Recordkeeping (Children’s Records, Section 102421) , Infant Safe Sleep (Continuing Requirements, Section 102425 and, LIC 311D Forms - Records to keep in your FCCH. LPA also provided Licensee with the following: Family Child Care Self-Assessment Guide", "Prohibited Items in Family Child Care Homes" Handout, and Ratio Handouts for small and large family child care homes.

Licensee was also provided with the CDSS Child Care Licensing (CCL) Family Child Care Providers Resource link with instructional videos: https://ccld.childcarevideos.org/family-child-care-providers/. It is recommended for Licensee to review the videos including, but not limited to: Child Care Reporting Requirements and Background Check Requirements for Caregivers. Licensee states she understands that she needs to abide by Health and Safety Code and Title 22 Regulations in the operation of her Family Child Care Home. Licensee was provided with information on Smart Horizon courses, which are available on the following link to assist with training: https://www.smarthorizons.org/childcare. Licensee is aware that training should be provided to any individual who works in her daycare as well.

Licensee was advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates and regulations. Licensee stated she is signed up to receive the PIN's. During meeting licensee was provided the Duty Line: 619-767-2248.

Licensee was provided a copy of this report. Their signature acknowledges receipt.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2021
LIC809 (FAS) - (06/04)
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