376627185-12-7-2021-20-CC-LGAO-C9H3LA-20211207172026

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376627185
Report Date: 12/07/2021
Date Signed: 12/07/2021 09:42:14 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:	SHARIF, AMINA & NOR, SAID FAMILY CHILD CARE		FACILITY NUMBER:	376627185
ADMINISTRATOR:	A. SHARIF/S. NOR		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 452-6224
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92105
CAPACITY:	14	CENSUS: 0	DATE:	12/07/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Amina Sharif		TIME COMPLETED:	05:30 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 December 7th, at 1:30PM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with co-licensee, Amina Sharif. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. There were no children present during the visit as provider advised analyst that they had left for the day an hour previously. This facility is a one floor, five bedroom, two bathroom house. Licensee accompanied LPA inside the facility during this inspection. The following areas used for child care are: the kitchen, the dining area, the first living room (off the kitchen), the first bedroom (off the the second living room and the bathroom) and the day care bathroom. The licensees also have a second living room and enclosed family room that will not be used for primary care but are available for use when additional space is needed. Analyst inspected both areas today and found them to be free of hazards and safely child proofed so licensees may use them at their discretion. Off limits are the remaining four home bedrooms and the garage. The bedrooms are made off limits with door knob covers installed on the handles of their entry doors as is the entry door to the garage which is found in the front yard of the home. The smoke detector and carbon monoxide detector met requirements. All hazardous items are inaccessible to children. The licensees have toys, play equipment and materials available. The licensees have a fenced backyard that is off limits for the facility as it has fruit trees and other items that are not suited for day care. Licensees instead take children to a local park for outdoor activities. The yard is off limits with the use of two exit doors leading from the family room that have dead bolt locks on them that make the yard inaccessible when doors are closed and locked. No bodies of water 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.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

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: SHARIF, AMINA & NOR, SAID FAMILY CHILD CARE	FACILITY NUMBER: 376627185
	VISIT DATE: 12/07/2021

NARRATIVE

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First Aid and CPR certifications expire on May of 2023 for co-licensee Sharif and February of 2022 for co-license Nor. Both licensees have the required immunizations. Licensees Sharif and Nor both have their Mandated Reporter Training certificate that were completed on 10/28/21. The last fire and disaster drills were conducted and documented on 09/22/21 and 10/13/21, respectively. Licensee currently has no infants in care but analyst provided her with a copy of the safe sleep regulations for her to review at a future date.

LPA provided and discussed 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. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements 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.

One type B violation California Code of Regulations, (Title 22, Division 12 & Chapter 3), is being cited for an empty fire extinguisher on the attached LIC 809-D.

An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

LPA provided notice of site visit and observed it being posted at the facility.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: SHARIF, AMINA & NOR, SAID FAMILY CHILD CARE	FACILITY NUMBER: 376627185
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/07/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(1)

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: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on analyst observation, the licensees did not comply with the section cited above as during inspection analyst found that the home's fire extinguisher was showing as empty on its capacity dial which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 12/10/2021
	Plan of Correction
1 2 3 4	Licensees state they will purchase a regulation required size 2:A:10:BC fire extinguisher and send analyst a copy of the purchase receipt and a photo showing the dial on the extinguisher reading as "full" by 12/20/21 to complete the correction.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2021

LIC809 (FAS) - (06/04)

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