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KHALIF, SAMSAM FAMILY CHILD CARE

San Diego, CA 92119

Facility:
376100575
Type:
FAMILY DAY CARE HOME
Status:
Licensed
Records checked:
July 17, 2026
Additional info
Source:
California Community Care Licensing Division
District office:
Not listed
License effective:
Not found
Capacity:
14

Inspection snapshot

Questions worth asking

The available records raise questions worth asking before enrolling.

Next: Review the inspection history below and ask the provider what the records mean and what changed afterward.

Latest inspectionJuly 1, 2025
Latest inspection with no recorded violationsDecember 1, 2022

Summary

This summary covers eight available inspections for KHALIF, SAMSAM FAMILY CHILD CARE from November 19, 2021 through July 1, 2025.

Six inspections recorded violations, with 12 recorded violations in total.

The most recent higher-concern violation was on July 1, 2025 and involved background screening, with a due date of July 8, 2025.

That higher-concern topic showed up in two inspections.

The available reports do not include a later inspection with no recorded violations after that violation.

At a glance

Total inspections
8

0 in last 12 months

Recorded violations
12

0 in last 12 months

Higher-concern violations
5

0 in last 12 months

Repeated topics
2

Last 36 months

Local comparison

8 total inspections vs 3 local median in 92119

Compared to 13 local facilities

Recorded violations per inspection

This provider
1.5
Local median
0

Inspections with higher-concern violations

This provider
63%
Local median
0%

Inspections with recorded violations

This provider
75%
Local median
0%

Repeated topics

This provider
2
Local average
0.15

Repeated topics

Topics that appeared in more than one inspection during the last 36 months. They may reveal a pattern worth examining.

Inspection history

Available inspection history. Select a violation topic for more info.

Higher concern: Background screening
Report finding
102370(d)(1) CRIMINAL RECORD CLEARANCE: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by: Based on record review and interview with the licensee, the licensee's former helper, Vera Stone, did not have a fingerprint clearance or criminal record exemption on file.
Report comments
Based on record review and interview with the licensee, the licensee's former helper, Vera Stone, did not have a fingerprint clearance or criminal record exemption on file.
Correction status
Plan of correction due by July 8, 2025
More details
Official CA class
Type A deficiency
Report section
CCR 102370(d)(1) - 102370(d)(1)
Official code
102370(d)(1)
Higher concern: Background screening
Report finding
PERSONNEL RECORDS: (d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review. This requirement is not met as evidenced by: Based on record review and interview, the licensee had background clearances for, but not personnel files for helpers Vera Stone and Kos Osborne, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 22, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102416.1(d) - 102416.1(d)
Official code
102416.1(d)
Medium concern: Parent rights
Report finding
Admission Procedures and Parental and Authorized Representative's Rights: (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). This requirement is not met as evidenced by: Based on record review, Licensee was missing entire childrens files or had incomplete files for children in care which poses a potential Health, Safety, or Personal Rights risk to children in care.
Correction status
Plan of correction due by May 15, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102419(d) - 102419(d)
Official code
102419(d)
Medium concern: Health or food records
Report finding
IMMUNIZATIONS: The licensee shall document each Child's immunization as required by the California code of regulations, title 17, section 6070, and shall maintain such documentation for as long as the child is enrolled. This requirement was not met as evidenced by… Based on interview and record review, Licensee did not comply with the regulation above, she did not have immunizations for children in care. This poses a potential Health, Safety, or Personal Rights risk to children in care.
Correction status
Plan of correction due by May 15, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102418(g) - 102418(g)
Official code
102418(g)
Medium concern: Incident records
Report finding
102416.2(b)(3)(c) "A report shall be made to the Department…following the occurrence during the operation of a family day care home of any of the following events:(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child." This requirement was not met as evidenced by: Based on record review and information gathered during another matter, the facility did not report to the Department an unusual incident on 4/25/25 to a daycare child, which poses a potential health, safety or personal rights risk to persons in care.
Report comments
Based on record review and information gathered during another matter, the facility did not report to the Department an unusual incident on 4/25/25 to a daycare child, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 22, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102416.2(b)(3)(c) - 102416.2(b)(3)(c)
Official code
102416.2(b)(3)(c)
Low concern: Recordkeeping
Report finding
Children’s Roster: (8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above, as the current roster of children was incomplete, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 15, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g)(8) - 102417(g)(8)
Official code
102417(g)(8)
Medium concern: Equipment or readiness
Report finding
Operation of A Family Child Care Home: (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to...This requirement is not met as evidenced by: LPA observed a crawling infant make contact with and partially dislodge a 4-panel room divider, which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by May 22, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g) - 102417(g)
Official code
102417(g)
View official report
Low concern: Recordkeeping
Report finding
Child's Records (a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d). This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above in 4 out of 5 children records, which poses a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by January 30, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102421(a) - 102421(a)
Official code
102421(a)
Higher concern: Sleep safety
Report finding
Infant Safe Sleep Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 5 children records, which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by January 30, 2025
More details
Official CA class
Type B deficiency
Report section
CCR 102425(j)(2)(D)(c) - 102425(j)(2)(D)(c)
Official code
102425(j)(2)(D)(c)
Higher concern: Supervision
Report finding
102417(a)-Operation of a Family Child Care Home: The licensee shall be present in the home and shall ensure that children in care are supervised at all times... Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement was not met as evidenced by: Based on observation, interviews, and documentation reviewed licensee has exceeded the time allowed for absences. Licensee has taken several trips and has not been at the home when licensing has made unannounced visits on multiple occasions. This poses a potential health, safety, and personal rights risk to children in care.
Report comments
Based on observation, interviews, and documentation reviewed licensee has exceeded the time allowed for absences. Licensee has taken several trips and has not been at the home when licensing has made unannounced visits on multiple occasions. This poses a potential health, safety, and personal rights risk to children in care.
Correction status
Plan of correction due by June 10, 2022
More details
Official CA class
Type B deficiency
Report section
CCR 102417(a) - 102417(a)
Official code
102417(a)
View official report
Higher concern: Staff-to-child ratio
Report finding
102416.5(a) Staffing Ratio and Capacity: The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. The requirement was not met as evidenced by: Based on inteveiws, observation, and documentation reviewed licensee has documented and cared for more than 14 children on more than 1 occasion in the month of June. This posed a potential health and safety risk to children in care.
Report comments
Based on inteveiws, observation, and documentation reviewed licensee has documented and cared for more than 14 children on more than 1 occasion in the month of June. This posed a potential health and safety risk to children in care.
Correction status
Plan of correction due by November 26, 2021
More details
Official CA class
Type B deficiency
Report section
CCR 102416.5(a) - 102416.5(a)
Official code
102416.5(a)
View official report
Medium concern: Recordkeeping
Report finding
Operation of A Family Child Care Home (7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in 3 out of 4 files reviewed which poses/posed a potential health, safety or personal rights risk to persons in care.
Correction status
Plan of correction due by November 26, 2021
More details
Official CA class
Type B deficiency
Report section
CCR 102417(g)(7) - 102417(g)(7)
Official code
102417(g)(7)