376100558-11-2-2020-51-CC-MMDS-BUYQ8V-20201102105721

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100558
Report Date: 11/02/2020
Date Signed: 11/02/2020 10:58:14 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:	MOHAMOUD, FOSIYA FAMILY CHILD CARE		FACILITY NUMBER:	376100558
ADMINISTRATOR:	FOSIYA MOHAMOUD		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 962-3375
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	14	CENSUS:	DATE:	11/02/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Fosiya Mohamoud		TIME COMPLETED:	11:00 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	On 11/2/20, Licensing Program Analyst (LPA) Michael Morales-DeSilvestore conducted an announced Pre-Licensing tele-inspection for relocation with the applicant. The 2 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 states that there are no weapons in the home. CPR and First Aid expire on 10/19/22. 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 owns the home. Applicant will be using the following rooms for childcare: Living Room, Dining Room, Kitchen, Family room and Downstairs Bathroom. Off limits areas include: entire upstairs and is inaccessible through the use of baby gates. The garage will also be off limits and is kept inaccessible through the use of a locking dead bolt. The applicant has sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities. 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. LPA provided information regarding Safe Sleep Regulations/SIDS and Shaken Baby Syndrome. 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: Michael Morales-DeSilvestore	TELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:	DATE: 11/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2020

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: MOHAMOUD, FOSIYA FAMILY CHILD CARE	FACILITY NUMBER: 376100558
	VISIT DATE: 11/02/2020

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.

The licensee was provided a copy of this report via email due to COVID-19. Licensee will respond to the email confirming receipt of the report. This email with serve as the Licensees signature.

The following corrections are needed prior to approval of License: Outside A/C unit must be made unacceptable.

The license for 14 children will be approved once proof of corrections is received.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Michael Morales-DeSilvestore	TELEPHONE: (619) 767-2208
LICENSING EVALUATOR SIGNATURE:	DATE: 11/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2020

LIC809 (FAS) - (06/04)

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