376100820-8-19-2021-51-CC-TBLK-C62VXS-20210819165001

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100820
Report Date: 08/19/2021
Date Signed: 08/19/2021 04:50:13 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:	HAMDARD, MAMOONA FAMILY CHILD CARE		FACILITY NUMBER:	376100820
ADMINISTRATOR:	MAMOONA HAMDARD		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 558-7616
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	14	CENSUS: 0	DATE:	08/19/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Mohammed and Mamoona		TIME COMPLETED:	05:00 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	Licensing Program Analyst (LPA), Tyra Block, conducted an announced Pre-Licensing inspection for relocation with the Licensee. Present at the home was Licensee, her husband Mohammed who assisted with translating, and her 2 sons. The 2 story 4 bedroom 3 1/2 bathrooms home was toured and inspected to ensure an environment safe for the care and supervision of children. Proof of control of property was provided Licensee owns the home. The fire extinguisher (3A40BC), carbon monoxide detector, and smoke detector meet requirements and are operational. LPA also observed the new fire alarm pull station. Fire clearance was granted by inspector Jorge Self on 8/18/21. All hazardous items were latched/locked and secured out of reach of children. There is a pool on the premises that is gated and self-latching, it meets regulation requirements. Licensee states that there are no weapons in the home. CPR and First Aid expire on 2/2022, and helper's CPR expires 6/2023 and his Mandated Reporter certificate expires 7/2023. 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 and TB requirements were met. Licensee will be using the following rooms for childcare: Living Room, Room #3, Bathroom located in Room #3, and patio area near Room #3. Off limits areas include: the entire 2nd floor, kitchen, garage, and pool area. They are inaccessible through the use of door knob covers and child safety latches. LPA observed minimal toys as Licensee will be transferring toys from previous facility where she continues to care for children pending licensure. The small patio area is available for children to use for outdoor activities. The pool is not accessible and will not be used by children in care. The fireplace is barricade making it inaccessible to children. Licensee 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, Licensee was also reminded that corporal punishment, smoking, walkers, exersaucers, bouncy seats and jumpers are not (cont)

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra Block	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021

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: HAMDARD, MAMOONA FAMILY CHILD CARE	FACILITY NUMBER: 376100820
	VISIT DATE: 08/19/2021

NARRATIVE

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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, Shaken Baby Syndrome, Effects of Lead, and COVID-19. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov
Licensee was also reminded: For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:
(1) Twelve children, no more than four of whom may be infants; or
(2) More than twelve and up to fourteen children only if additional criteria is met (Parents must sign Additional Children in Care form)

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.

Licensee is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248.Southern California Child Care Advocate information was provided and applicant was encouraged to subscribe through the CCLD website in order to be placed on an email list for updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. LPA provided notice of site visit and observed it being posted at the facility.

No corrections are needed; a license for 14 children will be issued effective today.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra Block	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021

LIC809 (FAS) - (06/04)

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