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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372010028
Report Date: 07/25/2019
Date Signed: 07/25/2019 01:27:19 PM

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:AHMAD, RIFFAT FAMILY DAY CAREFACILITY NUMBER:
372010028
ADMINISTRATOR:AHMAD, RIFFATFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 538-1574
CITY:SAN DIEGOSTATE: CAZIP CODE:
92129
CAPACITY:12CENSUS: 6DATE:
07/25/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:34 PM
MET WITH:TIME COMPLETED:
01:35 PM
NARRATIVE
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An unannounced random inspection was conducted today by LPAs Nancy Diaz and Tresha Souza. Upon arrival LPA observed six children napping in the family room. LPA conducted a tour of the home to ensure the health and safety of children. Licensee is using the following areas for daycare: family room, daycare room, hallway bathroom, diaper changing room and the front play area. The following areas are off-limits to children: second floor, living room and dining area. These areas are inaccessible to children via barricades.

Mrs. Ahmad stated that she does not maintain weapons or bodies of water within the premises. All cleaners, toxics, medications and other hazardous substances are inaccessible to children in care via latched cabinet or storage in the garage. Fireplace is screened to prevent access by children. Fire extinguisher and smoke detectors present in the home meet State Fire Marshall standards. Carbon monoxide detector was also present in the home. The home is kept clean and orderly with sufficient ventilation for safety and comfort. Stairs are barricaded. The home provides appropriate toys, play equipment and materials. The home maintains a working telephone service (landline).
Outdoor play areas are fenced. The licensee maintains a current children’s roster. Facility conducted a fire/emergency disaster drill on first week in July (conducted monthly). The licensee and other personnel has completed training on Preventative Health Practices including Pediatric CPR and First aid. Licensee’s CPR & First Aid certificate are valid through April 20, 2021. A handout was provided to the licensee today on “Effects of Lead Exposure”. Licensee shall provide a copy of this handout to all the daycare parents.

Facility has not exceeded the capacity specified on the license. Licensee resides in this home with Syed Ahmad, spouse and adult daughter Shermeen Ahmad. There are no new adults living or working in the home over the age of 18 years. All individuals subject to criminal record review have obtained criminal record clearance or exemption prior to working, residing or volunteering.

CONTINUED ON PAGES 2 & 3
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: AHMAD, RIFFAT FAMILY DAY CARE
FACILITY NUMBER: 372010028
VISIT DATE: 07/25/2019
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.

TYPE B DEFICIENCY WAS CITED TODAY.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: AHMAD, RIFFAT FAMILY DAY CARE
FACILITY NUMBER: 372010028
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2019
Section Cited

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Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
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This regulation was not met as evidenced by LPAs observation. Foil and plastic dispensers with sharp blade were stored in unlatched kitchen drawers.
Type B violation if not corrected, could become a risk to the health, safety, or personal rights of 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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 07/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/25/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3