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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629104
Report Date: 10/20/2022
Date Signed: 10/20/2022 11:25:01 AM

Document Has Been Signed on 10/20/2022 11:25 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:AKRAWI, SINAN FAMILY CHILD CAREFACILITY NUMBER:
376629104
ADMINISTRATOR:SINAN AKRAWIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 874-9081
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 0DATE:
10/20/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:04 AM
MET WITH:Sinan Akrawi, LicenseeTIME COMPLETED:
11:24 AM
NARRATIVE
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On October 20, 2022, at 10:04 AM, Licensing Program Analyst (LPA), Marie Hernandez conducted an unannounced case management inspection due to information obtained by the Department. LPA met with the Licensee, Sinan Akrawi and Licensee accompanied LPA on a tour of the facility. There were no children present during the case management inspection today. The Licensee stated he currently only has five children enrolled in the day care (facility). LPA obtained a copy of the roster.

Based on documents obtained by the Department, the Licensee has engaged in conduct inimical to the health, morals, welfare, and safety of others, which poses an immediate health and safety risk to the children in care. As per Licensee’s own admission via a court Plea Agreement, the Licensee engaged in Conspiracy to Commit Mail, Wire, and Insurance Fraud. Therefore, Health and Safety Code 1596.885(c) is being cited on the attached LIC 809-D.

The Licensee did not report the incident to the Department as required by Title 22 Regulations. During today’s inspection, the Licensee admitted to not reporting the incident of Conspiracy to Commit Mail, Wire, and Insurance Fraud to the Department, which poses a potential health and safety risk to children in care. Therefore, Regulation Section 102416.2(a) Reporting Requirements is being cited on the attached LIC 809-D.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the LIC 9224 was provided to licensee for parent’s signature and a copy must be kept in the children’s records.

An exit interview was conducted and a copy of the report and the appeal rights were provided to the Licensee, Sinan Akrawi. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Marie Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 10/20/2022 11:25 AM - It Cannot Be Edited


Created By: Marie Hernandez On 10/20/2022 at 10:18 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: AKRAWI, SINAN FAMILY CHILD CARE
FACILITY NUMBER: 376629104

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/21/2022
Section Cited
HSC
1596.885

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1596.885 Conduct Inimical. Denial, suspension, or revocation of license…The department may…suspend or revoke any license…upon any of the following.... (c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. This requirement was not met as evidenced by:
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The Licensee stated he is not allowed to discuss this matter with anyone as per his attorney. The Licensee stated he has to discuss with his attorney before submitting any plan of correction (POC).
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Based on licensee’s admission via a court Plea Agreement, the licensee engaged in conduct inimical by Conspiracy to Commit Mail, Wire, and Insurance Fraud, which poses an immediate health and safety risk to children in care.
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The Licensee stated he does not require an interpreter as he understands the report and the citation. The appeal rights were discussed and provided.
Type B
10/21/2022
Section Cited
CCR102416.2(a)

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102416.2(a) Reporting Requirements - The licensee shall report the following information to the Department by telephone or fax within the Department's next business day and during normal working hours (8am to 5pm). This requirement was not met as evidenced by:
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The Licensee stated he is not allowed to discuss this matter with anyone as per his attorney. The Licensee stated he has to discuss with his attorney before submitting any plan of correction (POC).
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Based on the interview, records review and licensee’s admission via a court Plea Agreement, the Licensee failed to report the incident pertaining to his conduct inimical by Conspiracy to Commit Mail, Wire, and Insurance Fraud, which poses a potential health and safety risk to children in care.
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The Licensee stated he does not require an interpreter as he understands the report and the citation. The appeal rights were discussed and provided.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Cynthia Gray
LICENSING EVALUATOR NAME:Marie Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 10/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2022


LIC809 (FAS) - (06/04)
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