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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629615
Report Date: 08/14/2024
Date Signed: 08/14/2024 12:46:09 PM

Document Has Been Signed on 08/14/2024 12:46 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:ALAWAD, MAZIN FAMILY CHILD CAREFACILITY NUMBER:
376629615
ADMINISTRATOR/
DIRECTOR:		MAZIN ALAWADFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 412-9006
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
08/14/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Mazin AlawadTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
NARRATIVE
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On August 14, 2024, at 10:30 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a Case Management Inspection. The inspection’s purpose is to ensure that the home follows standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. LPA disclosed the purpose of the inspection and was granted facility entry by the Licensee. The licensee, one (1) daycare infant (age 7 months) and three (3) school aged children (ages 7 years, 11 years and 12 years) were present in the facility during this inspection.

Licensee was reminded that a family childcare means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away.

Licensee was reminded that licensees shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require a licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult, who is background cleared and associated to the license, to care for and supervise the children during their absence. Licensee acknowledged that temporary absences shall not
exceed 20 percent of the hours that the facility is providing care per day.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
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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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: ALAWAD, MAZIN FAMILY CHILD CARE
FACILITY NUMBER: 376629615
VISIT DATE: 08/14/2024
NARRATIVE
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Deficiencies were observed as per California Code of Regulations, (Title 22, Division 12 & Chapter 3), and are being cited on the attached LIC 809-D.

A notice of site visit was given to licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the licensee Mazin Alawad.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/14/2024 12:46 PM - It Cannot Be Edited


Created By: JoAnn R Legaspi On 08/14/2024 at 03:10 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: ALAWAD, MAZIN FAMILY CHILD CARE
FACILITY NUMBER: 376629615

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/20/2024
Section Cited
HSC
1596.866(b)

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Additional health & safety training; condition of licensure - “ … licensees of family day care homes shall ensure that at least one staff member who has a current course completion card in pediatric first aid and pediatric CPR ... shall be onsite at all times when children are present ... " This requirement is not met as evidenced by:
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Licensee states he is scheduled for a pediatric 1st Aide/CPR course on 08/17/2024. Licensee states he will provide LPA with a copy of his new pediatric 1st Aide/CPR card by 08/20/2024.
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 Licensee said they had a current a pediatric 1st Aide/CPR card but was unable to locate this document during the inspection.

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Type B
08/20/2024
Section Cited
HSC1596.8662(b)(1)

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Availability of information regarding detecting & reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion – “ …. a licensed childcare provider … shall complete renewal mandated reporter training every two years ..." This requirement is not met as evidenced by:
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LPA provided licensee with written instructions on how to locate the online Mandated Reporter Training course. Licensee states he will complete this course and provide LPA with a copy of its Mandated Reporter Training course completion certificate by 08/20/2024.

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Licensee was unable to locate his current Mandated Reporter training certificate confirming completion of the training. Based on licensee’s statement and a record review the Licensee was unable to provide LPA with their current, not expired Mandated Reporter Training course certificate, which poses as a potential risk to children in care.
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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:Tulam Vu
LICENSING EVALUATOR NAME:JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2024


LIC809 (FAS) - (06/04)
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