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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376626215
Report Date:
06/21/2023
Date Signed:
06/21/2023 02:05:48 PM
Document Has Been Signed on
06/21/2023 02:05 PM
- 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 CARE
FACILITY NUMBER:
376626215
ADMINISTRATOR:
SAHRA JOFEY
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(619) 519-4444
CITY:
SAN DIEGO
STATE:
CA
ZIP CODE:
92111
CAPACITY:
14
CENSUS:
4
DATE:
06/21/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
10:20 AM
MET WITH:
Jofey Sahra
TIME COMPLETED:
02:15 PM
NARRATIVE
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On 06/21/2023 at 10:20am, Licensing Program Analysts (LPAs) Selina Siao and Gerald
Poindexter conducted an unannounced random inspectionon with the Licensee. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Upon arrival, Licensee and 4 day care children (all preschool age children) were in the living room. Licensee's two adult daughters/helpers Amina Jama and Hodan Jama were sleeping and licensee woke them up to assist with translation. LPAs observed at least three adult males at the facility in the two locked bedrooms downstairs and another person was observed napping upstairs. One out of three of the adults have the required background clearances. The person upstairs left from the front door while LPAs were touring at the backyard and licensee stated that she doesn't know his legal name as that's his relative visiting. The home has a fully charged fire extinguisher size 3A40BC, smoke and carbon monoxide detector that meet requirements and are operational. Most hazardous items were latched/locked and secured out of reach of children. Licensee stated that there are no bodies of water or weapons in the home. A review of staff records on this date indicates that two of the individuals that were napping at the facility does not have the require caregiver background clearances. Civil penalty of $1000 is being assess today. Licensee’s First Aid and CPR certifications are valid through 05/20/2025. Licensee is exempt from taking the online mandated child abuse training as her primary language is Somali. Licensee's two daughters Amina Jama and Hoden Jama stated that they have not taken the online mandated child abuse training. Licensee's daughter Amina Jama stated that they don't have any children's records available for review as the parents has not returned the forms back to her. Facility has an updated roster and licensee has a fire drill log but the last drill shows that it was conducted during the year of 2020.
Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include living room, one bedroom for napping and the day care bathroom that is located next to the kitchen.
SUPERVISOR'S NAME:
Monica Cuddy
TELEPHONE:
(619) 767-2249
LICENSING EVALUATOR NAME:
Selina Siao
TELEPHONE:
(619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE:
06/21/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/21/2023
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
7
Document Has Been Signed on
06/21/2023 02:05 PM
- 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:
06/21/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102370(d)(1)
Criminal Record Clearance
(d) 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: (1) Obtain a California clearance or a criminal record exemption as required by the Department or
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs Siao and Poindexter observation, the licensee did not comply with the section cited above as there were two adults that have prominate presense and were sleeping at the facility did not have the required background clearances. Licensee's son Ali Mohamed Jama truck driver stated that he only stays for about a month each time and he does not have the required background clearances. Licensee's nephew Salim Mohamed Abdulahi who was sleeping at the home and has a letter with the faciilty's address that was observed by LPA Siao does not have the required background clearances. This poses an immediate health, safety or personal rights risk to persons in care. Civil peanlty of $1000 is assessed today.
POC Due Date:
06/22/2023
Plan of Correction
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Licensee that that her older son and her nephew has other places that they can stay rather than the facility.
Type A
Section Cited
CCR
102395(a)(2)
Penalties
Failure to provide a copy of the "Addendum to Notification of Parent's Rights Regarding Exclusion" of an individual from the home, to one parent or authorized representative of every child in care.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Facility does not have any records available for review, the licensee did not comply with the section cited above in 4 out of 4 children from two that are from two families does not have the LIC995B Regarding Removal/Exclusion for licensee's son Omar Jama. This poses an immediate health, safety or personal rights risk to persons in care. Civil penalty of $200 for two families will be issue today.
POC Due Date:
06/22/2023
Plan of Correction
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Licensee's daughter stated that she will ensure to have the families sign the LIC995B regarding removal/exclusion form for (Omar Jama). She will submit the forms to LPA Siao no later than 06/22/23.
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 Cuddy
TELEPHONE:
(619) 767-2249
LICENSING EVALUATOR NAME:
Selina Siao
TELEPHONE:
(619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE:
06/21/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/21/2023
LIC809
(FAS) - (06/04)
Page:
2
of
7
Document Has Been Signed on
06/21/2023 02:05 PM
- 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:
06/21/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs Siao and Poindexter observation, the licensee did not comply with the section cited above as there were three rolls of area rug at the end of the hallway, laundry room and the storage room that area accessible to the children. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/27/2023
Plan of Correction
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Licensee stated that she will put a gate at the hallway to prevent the children access to the off limit rooms and hallway to ensure children's safety.
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Siao's observation, the licensee did not comply with the section cited above as there was a sharp knive in the kitchen drawer that is not latch and accessible to children. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/21/2023
Plan of Correction
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Licensee removed the sharp knive in the kitchen drawer during the inspection.
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 Cuddy
TELEPHONE:
(619) 767-2249
LICENSING EVALUATOR NAME:
Selina Siao
TELEPHONE:
(619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE:
06/21/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/21/2023
LIC809
(FAS) - (06/04)
Page:
3
of
7
Document Has Been Signed on
06/21/2023 02:05 PM
- 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:
06/21/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on records review, the licensee did not comply with the section cited above as the last drill documented on the fire drill log that is posted on the wall indicate that they had a drill in the year of 2020. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/30/2023
Plan of Correction
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Licensee's daughter Amina Jama stated that she will conduct a fire drill with the children in care and she will email the drill log to LPA Siao no later than 06/30/2023.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as helpers Amina Jama and Hoden Jama stated that they have not taken the online mandated child abuse training. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
07/14/2023
Plan of Correction
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Licencee's daughter Amina Jama stated that her and her sister Hodan Jama will complete the online mandated child abuse training and will submit it to LPA Siao no later than 07/14/2023.
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 Cuddy
TELEPHONE:
(619) 767-2249
LICENSING EVALUATOR NAME:
Selina Siao
TELEPHONE:
(619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE:
06/21/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/21/2023
LIC809
(FAS) - (06/04)
Page:
4
of
7
Document Has Been Signed on
06/21/2023 02:05 PM
- 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:
06/21/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as licensee and her daughter/helper Hodan Jama's measles and pertusis/TDAP immunization records are not available for review. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
07/14/2023
Plan of Correction
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Helper Amina Jama stated that her mom Sahra Jofey and sister Hodan Jama will obtain their measle and tdap immunization from their doctor and submit the documents to LPA Siao by 07/14/2023.
Type B
Section Cited
CCR
102418(a)
Immunizations
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as the four children's immunization records are not available for review. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
07/14/2023
Plan of Correction
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Helper Amina Jama stated that she will obtained the children's immunization records and will transfer it to LPA no later than 07/14/23.
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 Cuddy
TELEPHONE:
(619) 767-2249
LICENSING EVALUATOR NAME:
Selina Siao
TELEPHONE:
(619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE:
06/21/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/21/2023
LIC809
(FAS) - (06/04)
Page:
5
of
7
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
VISIT DATE:
06/21/2023
NARRATIVE
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Off limits areas includes the three bedroom and bath located downstairs and the three bedrooms and bath upstairs. There is a door that is closed and has a lock to prevent children from the upstairs areas. There are about three rolls of area rugs and bedroom that is use as a storage room that are accessible to children. The items in the hallway areas needs to be clear or block off to ensure children's safety and the storage room. The facility has some toys and equipment available. The home has a fenced backyard and front yard area that the children uses as an outdoor activity space and visual supervision is required when children are outside.
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 following items were discussed with provider: Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Licensee was provided with information about Heat Related Illness, Never Shake a Baby, Safe Sleep for Infants, Best Practice On Supervision and Effects of Lead Exposure and reporting responsibilities were discussed. The ABC’S of Safe Sleep: Sleep is Safest: Alone, on their Back in an empty Crib on a firm mattress.
LPAs discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep
as an additional resource. LPA also informed licensee and her daughter Amina Jama of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at
https://www.cpsc.gov/
and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at
https://cdss.ca.gov/inforesources/community-care-licensing/subscribe
. LPA discussed California Megan's Law with provider and advised her to go on the website at
www.meganslaw.ca.gov
.
SUPERVISOR'S NAME:
Monica Cuddy
TELEPHONE:
(619) 767-2249
LICENSING EVALUATOR NAME:
Selina Siao
TELEPHONE:
(619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE:
06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/21/2023
LIC809
(FAS) - (06/04)
Page:
6
of
7
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
VISIT DATE:
06/21/2023
NARRATIVE
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to
inspectionprocess@dss.ca.gov
. For additional information regarding the inspection and its tools and methods, please visit the
Program website
at
www.cdss.ca.gov/inforesources/community-care-licensing/nspection-process
.
Licensee and her helper Amina Jama was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
See LIC809D for deficiencies and Technical violations attached.
“Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. “
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the facility representative/helper Amina Jama who provided translation to licensee in Somali.
SUPERVISOR'S NAME:
Monica Cuddy
TELEPHONE:
(619) 767-2249
LICENSING EVALUATOR NAME:
Selina Siao
TELEPHONE:
(619) 767-2217
LICENSING EVALUATOR SIGNATURE:
DATE:
06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/21/2023
LIC809
(FAS) - (06/04)
Page:
7
of
7