376623856-9-8-2021-20-CC-JARL-C6NVKF-20210908163017

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376623856
Report Date: 09/08/2021
Date Signed: 09/08/2021 04:30:33 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:	HAYDER, SAHRA FAMILY CHILD CARE		FACILITY NUMBER:	376623856
ADMINISTRATOR:	HAYDER, SAHRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 565-4745
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92105
CAPACITY:	14	CENSUS: 6	DATE:	09/08/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Sahra Hayder		TIME COMPLETED:	02:50 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 September 8^th, 2021 at 1:10 PM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced Annual Required Inspection and met with Licensee Sahra Hayder. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Six (6) children, two (2) staff and the Licensee were present in the facility during this inspection. This facility is a one story, four (4) bedroom, two (2) bathroom house. Licensee accompanied LPA inside and out of the facility during this inspection. The following areas used for childcare are: living room, dining-room, play room, one bedroom and one bathroom. The off limits areas are the kitchen, remaining bedrooms and remaining bathroom. The kitchen is made inaccessible to children in care with safety gates; the remaining off limit rooms are made inaccessible through the use of door safety knobs. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. Hazardous items were observed inaccessible to children during this inspection. The Licensee has available toys, play equipment and materials. The home has an available fenced backyard for backyard activities. Licensee was reminded that continuous supervision is to be given to children whenever engaged in outdoor activities. No bodies of waters were observed on the premises during the inspection. Licensee stated there are no weapons in the home. 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. Licensee’s First Aid and CPR certifications expire in 08/2023. Licensee has required immunizations. Licensee completed Mandated Reporter Training on 09/08/2021. The facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 08/13/2021. There is one crib or play yard for each infant who is unable to climb out of the crib or play yard. Cribs or play yards are free from all loose articles and objects. The Provider physically checks on sleeping infants every fifteen (15) minutes. There are currently no children aged 12 months or younger in care.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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: HAYDER, SAHRA FAMILY CHILD CARE	FACILITY NUMBER: 376623856
	VISIT DATE: 09/08/2021

NARRATIVE

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LPA discussed with the Licensee the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. LPA provided Licensee with written information about Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome and California Megan's Law. The website address to California Megan’s Law is: www.meganslaw.ca.gov. LPA discussed and provided Licensee with written information about the Child Care Advocate Program. The email address to the Child Care Advocate is: childcareadvocatesprogram@dss.ca.gov . Additionally, for general questions or questions regarding licensing requirements the Licensee was advised to contact the Child Care Licensing Duty Line at (619) 767-2248.

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 cited.

LPA provided the Licensee with the Notice of Site Visit (LIC 9213 01/04). Licensee agreed to post this document for public viewing. An exit interview was conducted with the Licensee. The Licensee was provided a copy of their Licensee/Appeal Rights (LIC 9058 1/16) and their signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC809 (FAS) - (06/04)

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