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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376627006
Report Date: 12/27/2019
Date Signed: 12/27/2019 03:22:48 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/19/2019 and conducted by Evaluator Tyra Block
COMPLAINT CONTROL NUMBER: 51-CC-20191219142014
FACILITY NAME:ISMAIL, HIBO AHMAD FAMILY CHILD CAREFACILITY NUMBER:
376627006
ADMINISTRATOR:HIBO AHMAD ISMAILFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 729-4906
CITY:SAN DIEGOSTATE: CAZIP CODE:
92119
CAPACITY:14CENSUS: 1DATE:
12/27/2019
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Hibo IsmailTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Licensee is operating over capacity
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Tyra block and Elizabeth Rivera, conducted an unannounced visit for the purpose of investigating the above allegation of operating over capacity.

Based on documentation received and Licensee's admission we are substantiating the allegation. The allegation is valid because the preponderance of the evidence has been met. Licensee stated the alternative payment program had already informed her that she was overcapacity on specifically, November 1st, when she cared for more than 20 children. LPAs discussed that due to regulation licensee must operate within capacity and include licensee's own child in the ratio. Also, LPAs and Licensee discussed the ratio for her helper when Licensee is out of the home transporting children., she must abide by the ratio for a small family child care.

A Type A citation was issued. 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. This report and Notice of Site Visit must be posted for 30 days.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 51-CC-20191219142014
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: ISMAIL, HIBO AHMAD FAMILY CHILD CARE
FACILITY NUMBER: 376627006
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/27/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/30/2019
Section Cited
CCR
102416.5(d)
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Staffing Ratio and Capacity 102416.5(d)
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 ...up to fourteen children only
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Licensee will watch the video "How Many Children Can Attend a Family Child Care Home?" on the CCLD website and submit a summary by email to LPA on 12/30/19.
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This requirement was not met as evidenced by docmentation and licensee's admission that she exceeded the maximum of 14 children cared for for at one time. This poses an immediate health, safety, or personal rights risk
to children 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: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2