376100184-11-12-2019-51-CC-TSOA-BHUR35-20191112113923

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100184
Report Date: 11/12/2019
Date Signed: 11/12/2019 11:39:39 AM

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:	JAMEEL, MOREEN FAMILY CHILD CARE		FACILITY NUMBER:	376100184
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	11/12/2019
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Moreen Jameel		TIME COMPLETED:	11:45 AM

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) Joelle Redding and Tresha Souza conducted an announced pre-licensing inspection for a change of location with applicant, Moreen Jameel. Purpose of the inspection is to ensure that the home is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. This home is a 1 story 4-bedroom, 2 1/2 bath with 3 car garage. This home was toured and inspected to ensure environment is safe for the care and supervision of children. Applicant provided proof of control of property for review by the Department. Applicant will use entire home with the exception of the Master bedroom and Master bath, garage and a portion of the fully fenced backyard. Off limits areas are made inaccessible to day care children through the use of door locks, doorknob covers, door latches and safety gates. Fireplace is a faux fireplace and does not heat up. There are no bodies of water or weapons / ammunition present in the home. The fire extinguisher is rated 2A 10B:C, smoke and carbon monoxide detectors meet requirements and are operational. All poisons, cleaners and hazardous items in the home are inaccessible to children through latches, locks, and/or placed up on high surfaces. Children’s toys and play equipment are available. Applicant has completed the 8 hours of preventative health. Pediatric CPR and First Aid certifications expire on 05/2021. Required documents are posted. Applicant and all adults residing in the home have been cleared for criminal record and child abuse index clearances. Applicant was advised that any new/additional adults must be cleared prior to working or residing in home. Any minor upon his/her 18^th birthday must be fingerprinted within 30 days. Immunization records per SB792 were reviewed and are in compliance for applicant. Applicant completed Mandated Reporter training on 05/06/19 and certificate was available for review.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Tresha Souza	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019

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: JAMEEL, MOREEN FAMILY CHILD CARE	FACILITY NUMBER: 376100184
	VISIT DATE: 11/12/2019

NARRATIVE

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Per applicant operating hours are Monday through Sunday, not to exceed 24 hours per child in one day. Advised applicant no changes should be made to the home without prior notice and/or approval from Licensing. Applicant states they are financially secure to operate a family child care home for children and will comply with all regulations and laws governing family child care homes.

Applicant does not plan on providing IMS to clients. 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

The New Provider Resource Packet was reviewed with the applicant including information on the following: SIDS, shaken baby, insurance, child abuse reporting, community resources, children’s records, facility records, required postings, immunization's, unusual incident report, roster, car seat law, visual for ratio/capacity, fire/disaster drill log. Applicant was also informed the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care.
The maximum capacity for a small family child care home: 4 infants only (infants mean any children under 24 months); or 6 children with no more than 3 infants; or (with landlord consent) 8 children with no more than 2 infants, 1 child in kindergarten or elementary school and 1 child at least age 6 including children under age 10 who live in the licensee's home. To access our Regulations and Forms please use our WEBSITE: http://ccld.ca.gov.

Sabrina Raheem, applicants cousin interpreted and explained inspection report to applicant in Chaldean, applicant stated she understood.

A Regular Small Family Child Care Home license will be issued upon final file review.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Tresha Souza	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019

LIC809 (FAS) - (06/04)

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