376627267-6-11-2020-51-CC-SSAA-BQGQ5C-20200611115143

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376627267
Report Date: 06/11/2020
Date Signed: 06/11/2020 11:52:33 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:	DAWWOD, AMY FAMILY CHILD CARE		FACILITY NUMBER:	376627267
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	06/11/2020
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Amy Dawwod		TIME COMPLETED:	11:45 AM

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 06/11/2020 at 10:50am, Licensing Program Analyst (LPA) Samantha Salunga conducted an unannounced case management virtual inspection with Licensee, Amy Dawwod. Licensee has requested an increase of capacity from having 8 children to 14 children. Fire clearance was granted on 05/21/2020. Due to COVID-19 state of emergency, in person inspections are not allowed at this time. This inspection was completed via video conferencing (Zoom). Licensee's 3 bedroom, 2 bathroom home was virtually toured and inspected to ensure an environment safe for the care and supervision of children. Also present were 4 children with helper, Angham Toma. Licensee's mother, Maream Kolan, was also present. Licensee is utilizing the following areas for childcare: master bedroom/bathroom, living room, dining room, kitchen, and backyard. Off limits areas include bedroom 2, bedroom 3, bathroom 2, storage, garage, laundry room, and front yard. They are made inaccessible to day care children through the use of door locks and safety gates. Licensee utilizes backyard for outdoor activities. Required documents are posted. There are no bodies of water observed during time of visit. Licensee states there are no firearms or weapons in this home. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children. There is no fireplace. There is a working fire extinguisher, a smoke detector, and carbon monoxide detector. There are no stairs in the home. There is a working telephone and email address. Adequate supervision is being provided during televisit. Capacity as specified on the license is being maintained. Last fire drill was conducted on 06/01/2020. Pediatric CPR/First Aid are current with an expiration date of 05/22/2022. There are no excluded individuals present at this home. Licensee was advised that any new/additional adults must be cleared prior to working or residing in home. Any minor upon his/her 18^th birthday must be fingerprinted within 30 days. Licensee has met all immunization requirements per SB792. Licensee is exempt from taking AB1207 Mandated Reporter Training due to her primary language being Arabic. LPA reviewed capacity limitations, supervision, physical plant, reporting requirements, bodies of water, storage of hazardous items, Shaken Baby Syndrome, SIDS, emergency drills and childcare roster. LPA reminded Licensee that walkers, jumpers, exersaucers and bouncers are not permitted for use in the day care.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2020

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: DAWWOD, AMY FAMILY CHILD CARE	FACILITY NUMBER: 376627267
	VISIT DATE: 06/11/2020

NARRATIVE

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Licensee was advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248. LPA discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov

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

***Home was observed to be in compliance with Title 22 during televisit. Large Family Child Care Home license (14 capacity) is granted effective today’s date 06/11/2020.

No deficiencies observed in the areas inspected during today's visit. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS.

A copy of this report and NOS was reviewed and will be e-mailed to Licensee. Licensee was advised that acknowledgement of the receipt of this report is to be received within twenty-four hours, along with a picture of NOS being posted.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Samantha Salunga	TELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2020

LIC809 (FAS) - (06/04)

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