376100136-7-16-2021-51-CC-TBLK-C4YT5F-20210716142529

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100136
Report Date: 07/16/2021
Date Signed: 07/16/2021 02:25:37 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:	HASHI, SAFIYO & HASSAN, NAJMO FAMILY CHILD CARE		FACILITY NUMBER:	376100136
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 5	DATE:	07/16/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Safiyo Hashi		TIME COMPLETED:	02:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), Tyra Block, conducted an unannounced inspection for a capacity increase with the applicant. The single story home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher (3A40BC), carbon monoxide detector, and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property. Licensee states that there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensees meet immunization requirements and has completed Mandated Reporter Training. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was received on 6/1/21. LPA observed the newly installed fire alarm and pull station. First Aid and CPR certifications expired on 11/2020. Licensee is exempt due to limited-proficiency in English. Applicant will be using the following rooms for childcare: living room, kitchen, dining room, bathroom, and bedroom 1. Off limits areas include: bedroom 2. They are made inaccessible to day care children through the use of doorknob lever locks. The applicant has sufficient toys and equipment available for children. The home has a fenced backyard available for outdoor activities. The following information was reviewed with the applicant: information on reporting requirements for suspected child abuse and unusual incidents, children’s records, immunizations, adults living or working in the home and related civil penalties, shaken baby syndrome, Safe Sleep Regulation/SIDS. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, bouncy seats and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra Block	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

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: HASHI, SAFIYO & HASSAN, NAJMO FAMILY CHILD CARE	FACILITY NUMBER: 376100136
	VISIT DATE: 07/16/2021

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No deficiencies are cited. A Provisional License will be issued effective today pending Pediatric CPR/ First Aid renewal. Licensee understands Landlord Consent is required and must be on file to care for more than 12 children in addition to Parent Notification of Additional Children in Care.

Licensee was provided with this licensing report and their Appeal Rights. Her signature acknowledges receipt of these rights. A Notice of Site Visit was provided and must be posted for 30 days.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra Block	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021

LIC809 (FAS) - (06/04)

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