376100239-1-14-2020-51-CC-KLAE-BKTTQG-20200114135553

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100239
Report Date: 01/14/2020
Date Signed: 01/14/2020 01:56:01 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:	HANNA, ANNA FAMILY CHILD CARE		FACILITY NUMBER:	376100239
ADMINISTRATOR:	ANNA HANNA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 729-9965
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	14	CENSUS: 0	DATE:	01/14/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Anna Hanna		TIME COMPLETED:	12:00 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	On 1/14/2020 at 10:35 AM Licensing Program Analysts (LPAs) Keturah Lane and Selina Siao conducted an announced Pre-Licensing inspection for relocation with applicant Anna Hanna and husband Sal Hanna who provided translation for the applicant. The two story home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher, 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 in the home. Applicant has weapons in the home. Applicant's husband showed LPAs where the weapon and ammunition were stored separately and located in off-limits area. 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. Staff immunization requirements were met. Applicant rents the home and has provided the rental agreement and landlord notification. Landlord consent was granted for two additional school age children. Applicant states that they have sufficient financial resources to sustain the license. First Aid and CPR expire in October 2020 and preventative health practices course was completed on 9/18/16. Mandated Reporter Training is not required since applicant's primary language is not English. Applicant will be using the following rooms for childcare: Living room, Dining room and half bathroom. The following areas will be off limits: kitchen and entire second story which includes 3 bedrooms and additional bathroom which are inaccessible through the use of safety gates at the bottom of the stairs. The applicant has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020

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: HANNA, ANNA FAMILY CHILD CARE	FACILITY NUMBER: 376100239
	VISIT DATE: 01/14/2020

NARRATIVE

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Applicant was reminded of requirements for children’s records, child abuse, and unusual incident reporting, immunizations, adults living or working in the home and associated civil penalties, applicant was also 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. LPAs provided information regarding Safe Sleep Regulations/SIDS and YMCA Resource Center. LPAs and applicant discussed California Megan's Law and LPAs provided: www.meganslaw.ca.gov. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.

This facility provides Incidental Medical Services – IMS. LPAs reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.

Facility obtained the required fire clearance on 1/8/2020.
No corrections are needed; a large license for 12-14 children will be issued effective upon final file review.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah Lane	TELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020

LIC809 (FAS) - (06/04)

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