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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626215
Report Date: 04/28/2023
Date Signed: 04/28/2023 11:42:02 AM


Document Has Been Signed on 04/28/2023 11:42 AM - It Cannot Be Edited

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:JOFEY, SAHRA FAMILY CHILD CAREFACILITY NUMBER:
376626215
ADMINISTRATOR:SAHRA JOFEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 519-4444
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY:14CENSUS: 6DATE:
04/28/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Sahra Jofey and Amina Jama/Licensee's daughterTIME COMPLETED:
11:50 AM
NARRATIVE
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On 04/28/2023 at 11:01am, Licensing Program Analysts (LPAs) Selina Siao and Gerald Pondexter conducted an unannounced case management inspection today. Upon arrival, there were 6 children including 2 infants and 1 school age child supervised by Licensee Sahra Jofey and licensee's daughter/helper Amina Jama. Licensee's helper/resident Amina Jama has the required background clearances but she is not associated to the facility. Civil penalty of $500 is being assess today. Facility does not have a roster available today.

See LIC809D for citations issue and LIC421BG.


Notice of site visit was posted and it shall remain posted for 30 days. Civil penalty of $100 may be assess for failure to keep posting posted.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2023
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


Document Has Been Signed on 04/28/2023 11:42 AM - It Cannot Be Edited

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: JOFEY, SAHRA FAMILY CHILD CARE

FACILITY NUMBER: 376626215

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/01/2023
Section Cited

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Criminal Record Clearance
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:
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Licensee completed the criminal background clerance transfer form and provided a copy of Amina Jama's government issued ID to LPA during today's inspection. Amina Jama will be associated to the faciltiy effective today.
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Request a transfer of a criminal record clearance as specified in Section 102370(j) . This requirement is not met as evidence by: Adult resident/helper Amina Jama has the required background clearances but licensee did not request for her fingerprints to be associated to the facility. Civil penalty of $500 assess today. This poses a potential health and safety risk to clients in care.

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Type B
05/01/2023
Section Cited

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Operation of a Family Child Care Home
Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidence by:
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Licensee's daughter Amina Jama stated that she will complete the roster and will submit it to LPA Siao no later than 05/01/2023.
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Facility does not have a roster available during today's inspection. This poses a potential health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2