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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629615
Report Date: 08/02/2023
Date Signed: 08/02/2023 12:30:04 PM

Document Has Been Signed on 08/02/2023 12:30 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:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
08/02/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Mazin AlawadTIME COMPLETED:
12:15 PM
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On August 2, 2023, at 11:45 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced capacity increase inspection. Licensee Mazin Alawad was advised of the meeting’s purpose and granted LPA facility entry.

On 06/20/2023, Licensee submitted an application (LIC 279) requesting a capacity increase. The Fire Safety Inspection Request (STD 850) was approved by the local fire marshal on 07/20/2023 for fourteen (14) children. This three (3) bedroom, two (2) bathroom house, single floored house was toured and inspected. The areas used for the childcare are: the living room, one (1) bathroom and two (2) bedrooms. The off-limits areas include the garage, kitchen, remaining bedroom, and remaining bathroom. Kitchen cabinets have cabinet locks. The doorknobs to the garage, remaining bedroom and bathroom have doorknob safety covers.

Licensee accompanied LPA on a tour of the home, as shown on the updated facility sketch. Background criminal record clearances were verified and discussed. First Aid and CPR certifications expire on 02/05/2024. Facility has working 2A10BC fire extinguisher, smoke alarms, carbon monoxide, and the first aid kit in place. The last safety drill was on 05/10/2023. There are no bodies of water on the premises. Per the Licensee, no weapons or ammunition are housed in the facility.

The Licensee was provided with the Ratio/Capacity Worksheet for a large family childcare home. The Licensee acknowledged that if no assistant provider is present at a Large Family Child Care Home, then the Licensee shall comply with the capacity requirements for a Small Family Child Care Home.

The Licensee is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248. Southern California Child Care Advocate (SCCCA) information was provided.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2023
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: 08/02/2023
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 Applicant's email address was previously enrolled into the SCCA email list through the CCLD website so they may receive updated regulation; final enrollment was pending Licensee's confirmation of their email address via link sent to them by CCLD. Advocate information was provided: (714) 703-2800 or [email protected].

Licensure for fourteen (14) children may be approved after final review of the license’s Department file.

A notice of site visit was given to Licensee Mazin Alawad 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: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023
LIC809 (FAS) - (06/04)
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