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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625397
Report Date: 09/21/2022
Date Signed: 09/21/2022 03:40:13 PM

Document Has Been Signed on 09/21/2022 03:40 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:SAID, FADUMA FAMILY CHILD CAREFACILITY NUMBER:
376625397
ADMINISTRATOR:FADUMA SAIDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 703-6015
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
09/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Faduma SaidTIME COMPLETED:
03:30 PM
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On September 21, 2022, at 2:00PM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the cleared and associated licensee assistant, Asho Eymoy. Analyst began visit after Ms. Said, who was out, was contacted by Ms. Eymoy and allowed analyst to enter the home for the visit. Zero (0) children were present in the facility during this inspection. This facility is a one floor, two bedroom, one bathroom apartment. Licensee assistant accompanied LPA inside of the facility during this inspection. The following areas used for child care are: the kitchen, the living room, the two home bedrooms and the bathroom. The home has no off limits rooms.

Licensee did not return from her appointment while analyst was conducting facility visit and he could not proceed with non English speaking assistant Eymoy. Analyst contacted licensee who stated she was still waiting to be seen for her son’s medical appointment and was unsure when she would be home. Analyst advised licensee, as he could not continue the visit without her being present, that he would return unannounced on another day to complete the visit. Licensee stated she mostly currently conducts weekend care but could usually be found at home in the mornings.

Licensee explained the situation to her assistant over the phone and had Ms. Eymoy sign the report to indicate its receipt. Analyst printed and left a copy of the report for the licensee for her records.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2022
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: SAID, FADUMA FAMILY CHILD CARE
FACILITY NUMBER: 376625397
VISIT DATE: 09/21/2022
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Created in error; do not record.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2