376626952-6-20-2019-20-CC-YBAZ-BDBQ96-20190620115748

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376626952
Report Date: 06/20/2019
Date Signed: 06/20/2019 11:57:52 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:	AHMED, FANI FAMILY CHILD CARE		FACILITY NUMBER:	376626952
ADMINISTRATOR:	FANI AHMED		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 394-1065
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92105
CAPACITY:	14	CENSUS: 0	DATE:	06/20/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Fani Ahmed		TIME COMPLETED:	12:05 PM

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Licensing Program Analyst (LPA) Yolanda Baez arrived at the facility to conduct an annual inspection. LPA Baez met with Licensee, Fani Ahmed. There were not any children present at the time of the inspection.

LPA Baez toured the home. This is a 1 bedroom and 1 bathroom apartment located on the first floor. The following areas are accessible to the children in care: the entire home that includes the kitchen, living room, the hallway bathroom, dining area, and one bedroom. There are not any inaccessible areas. The home has plenty of space for the children to eat, sleep and play, and was a comfortable temperature during this visit. Licensee stated that she uses the front porch for outdoor activities, apartment complex is gated and fenced all around, 100% supervision is advised while children are outdoor playing. The fire extinguisher is full, of regulation size, and located in the kitchen. There is no fireplace on the property. Licensee was advised to obtain a proper barrier for the wall heater to keep it inaccessible to the day care children. The smoke alarm and carbon monoxide monitor are operational. LPA Baez verified a working telephone, working email, and all required forms are posted. There are no large bodies of water on the property. Licensee stated that there are not any firearms and ammunition on the property. LPA Baez verified that all adults living or working in the home have been fingerprint cleared and associated. LPA Baez reviewed children's file and emergency drill log. The last emergency drill was conducted on 04/2019. Licensee had her CPR/FA in her vehicle and does not currently have her vehicle. LPA gave Licensee until Monday, 06/24/19 to send LPA verification of CPR/FA or possible deficiency would be issued.

LPA Baez reviewed physical plant, bodies of water, storage of hazardous items, Shaken Baby Syndrome, SIDS, and new Safe Sleep regulations and Licensee stated that she understands. LPA reminded Licensee that walkers, jumpers, exersaucers, and bouncers are not permitted for use in the day care. Licensee was reminded that corporal punishment and smoking is not permitted at the day care. LPA Baez discussed Unusual incident reporting.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019

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: AHMED, FANI FAMILY CHILD CARE	FACILITY NUMBER: 376626952
	VISIT DATE: 06/20/2019

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IMS was discussed. Licensee is not currently providing IMS, Licensee understands that a written plan of operation needs to be submitted prior to enrolling any child that requires IMS. 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 http://www.ada.gov/childqanda.htm

Immunization law (SB792) was discussed with Licensee. Licensee understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility for: pertussis, measles, and influenza. Licensee stated that her immunization record is in her vehicle and does not currently have her vehicle. LPA gave Licensee until Monday, 06/24/19 to send LPA verification of CPR/FA or possible deficiency would be issued.

LPA Baez discussed the new Mandated Reporter training (AB1207). LPA Baez reminded Licensee that herself and all helpers are to take the training and have the printed certificates present at the facility and available for review. Training can be located at www.mandatedreporterca.com. Licensee is compliant with AB1207.

LPA and Licensee discussed California Megan’s Law and LPA provided: www.meganslaw.ca.gov.

There were not any deficiencies issued throughout today's inspection at this time.

NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Licensee post notice of site visit. Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov. Duty Line: (619) 767-2248, Open Monday thru Friday from 8AM to 5PM

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019

LIC809 (FAS) - (06/04)

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