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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629433
Report Date: 08/25/2022
Date Signed: 08/25/2022 06:21:12 PM

Document Has Been Signed on 08/25/2022 06:21 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:SHIRE, ARDO & ABDILLE, RAQIYA FAMILY CHILD CAREFACILITY NUMBER:
376629433
ADMINISTRATOR:ARDO S. & RAQIYA A.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 729-3900
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
08/25/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
06:00 PM
MET WITH:Raqiya AbdilleTIME COMPLETED:
06:20 PM
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On August 25th at 6:00PM, LPA, Luigi Gargaro, conducted a follow up prelicensing inspection to the facility. Visit was conducted so that analyst could review the home and confirm there is no access from connected residential units

During today's visit, analyst found no egress or way of entry into the home from the City of San Diego confirmed separately addressed units located at 5263 Pirotte Drive and 2258 Haniman Drive. Analyst will review findings with supervisor before final approval for license for 14.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2022
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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