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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100430
Report Date: 06/29/2021
Date Signed: 06/29/2021 03:01:35 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:ORAHA, RAGHAD & YAQOOB, SALWAN FAMILY CHILD CAREFACILITY NUMBER:
376100430
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
06/29/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Raghad Oraha and Salwan YaqoobTIME COMPLETED:
03:30 PM
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On 6/29/21 at 1:10 PM Licensing Program Analyst (LPA) Adrian Mangina conducted an unannounced annual inspection with the Licensees. Upon arrival, LPA met with Licensees, Raghad Oraha and Salwan Yaqoob . The three-bedroom three-bathroom two story townhouse was toured and inspected to ensure an environment safe for the care and supervision of children. Present were both Licensees, Licensees’ two minor children and one daycare child. Proper supervision and ratios were observed. 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 is a pool at the complex which is fenced and has a locked gate. Licensee stated that children in care do not use the pool. Advised visual supervision is required at all times while in the pool area. Licensee advised visual supervision at all times when outdoors. Licensee states that there are no weapons in the home. A review of staff records on this date indicates that Licensees both have criminal background checks and child abuse clearances. Licensee Raghad’s First Aid and CPR certifications expire on 7/9/2021 and Salwan’s expires 7/31/22. Licensees meet immunization requirements. Licensee requirement to complete Mandated Reporter training was waived due to Licensees' first language is not English. LPA reviewed child files six of seven children in care had child files. Licensee stated that one infant just began care yesterday and Licensees have not gotten completed paperwork back from parents but will before child returns to the facility. LPA observed that all required postings are present. Licensees stated that last disaster drill was held on 3/9/2021.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include: kitchen, living room, bedroom #1 and bathroom #1. Off limits areas include: garage and pantry on first floor and the entire second floor which includes master bedroom, master bathroom, Bedroom #2 and bathroom #2 which are made inaccessible through the use of locks, latches and gates. There is

(Continued on LIC809 page 2)
SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
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 2
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: ORAHA, RAGHAD & YAQOOB, SALWAN FAMILY CHILD CARE
FACILITY NUMBER: 376100430
VISIT DATE: 06/29/2021
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(LIC809 page 2)

fireplace in the home which is made inaccessible by the use of a gate. There is a working phone at the facility. The Licenses have sufficient age appropriate, safe, toys and equipment available. The home has a fenced backyard available for outdoor activities.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances to avoid civil penalties associated with this requirement; corporal punishment, smoking, exersaucers, bouncy seats, walkers, 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. LPA Mangina reviewed Covid-19 guidelines with Licensee and provided Covid-19 resources. LPA Mangina directed Licensee to website: https://www.cdss.ca.gov/inforesources/community-care-licensing to receive important updates and information.

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.

No deficiencies are cited however, the following Technical Assistance was provided: Section 102425(j)(1) and Section 102421(b) (refer to LICs9102 Technical Assistance).

An exit interview was conducted with the Licensee. The Licensee was provided a copy of their appeal rights (LIC 9058) along with the report (LIC809) and their signature on this form acknowledges receipt of these rights. The LIC 9213 (Notice of Site visit) was posted during today's visit. Notice of Site Visit must remain posted for 30 days.

SUPERVISOR'S NAME: Renesha PackTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L ManginaTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
LIC809 (FAS) - (06/04)
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