376628601-5-1-2020-20-CC-JARL-BP7NFV-20200501102611

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376628601
Report Date: 05/01/2020
Date Signed: 05/01/2020 10:26:47 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:	FARAH, ASHO FAMILY CHILD CARE		FACILITY NUMBER:	376628601
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	05/01/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Asho Farah		TIME COMPLETED:	10:15 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	Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a pre licensing inspection with Applicant Asho Farah. Due to the Covid 19 outbreak, this inspection was done as a tele visit via Face Time. The inspection’s purpose is to ensure that the home is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. This one story, three bedroom, two bathroom home was toured and inspected. Applicant will use the following areas for childcare: living room, family room and one daycare bathroom. Off limits areas include the bedrooms, one bathroom, kitchen and an unattached garage. They are made inaccessible to day care children through the use of doorknob covers and doors. The fireplace is screened. The Applicant stated there are no bodies of water and none were observed during the tele visit. The two fire extinguishers are rated 2A 10B:C and are in the kitchen. Smoke and carbon monoxide detectors meet requirements and are operational. Poisons, detergents, cleaning compounds, and medicines are secured inaccessible to children in care and are in the uppermost cabinet in the kitchen. Children’s toys and play equipment are available. The applicant has a working telephone/cell phone. The Applicant indicated there are no firearms or other weapons in the home. The Applicant intends to conduct outdoor activities in the fenced backyard. The Applicant acknowledges continuous, visual supervision shall be given whenever children are engaged in outdoor activities. The Applicant intends to transport the children in their own vehicle. The Applicant acknowledges children shall never be left unattended in the daycare vehicle and shall be kept in proper age appropriate child safety seats. The Applicant further confirms maintenance of the daycare vehicle shall be upheld to ensure safety. Applicant maintains documentation of proof of control of property for review by the Department. Applicant also completed the Mandated Reporter AB1207 training on 03/29/2020. Required documents are posted.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2020

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: FARAH, ASHO FAMILY CHILD CARE	FACILITY NUMBER: 376628601
	VISIT DATE: 05/01/2020

NARRATIVE

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The Applicant and adult residents in the home have criminal record clearances and/or exemptions on file. The Applicant was advised that any new/additional adults must be cleared prior to working or residing in home. Any minor upon their 18th birthday must be fingerprinted within 30 days. Immunization records per SB792 were reviewed and are in compliance. LPA advised that prior to making alterations or additions to the home or grounds, the applicant shall notify the Department of the proposed change. The Applicant states they are financially secure to operate a family childcare home for children and will comply with all regulations and laws governing family childcare homes. The daycares' operation schedule is Monday through Sunday; hours are dependent upon the families' needs.

The Applicant does not plan on providing Incidental Medical Services (IMS) to clients at this time. 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 New Provider Resource Packet was reviewed with the applicant including information on the following: Safe Sleep, Lead Exposure, SIDS, shaken baby, child abuse reporting, community resources, children’s records, facility records, required postings, facility roster, car seat law, visual for ratio/capacity, and fire/disaster drill log. The Applicant was also informed the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care.

LPA discussed the maximum capacity for a small family child care home: four infants only (infants mean any children under 24 months); or six children with no more than three infants; or, with landlord consent, eight children with no more than two infants, one child in kindergarten or elementary school and one child at least age six, including children under age 10 who live in the home.

The Applicant is 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.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2020

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: FARAH, ASHO FAMILY CHILD CARE	FACILITY NUMBER: 376628601
	VISIT DATE: 05/01/2020

NARRATIVE

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Southern California Child Care Advocate (SCCA) information was provided. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov. LPA electronically enrolled Applicant into the SCCA email network so the Applicant will receive updated regulation and program updates from SCCA.

No corrections are needed. A small license is issued effective today 05/01/2020. The new license will be mailed to the Applicant. On 05/01/2020, a copy of the facility's new digitalized facility profile will be emailed to the Applicant to demonstrate current licensure.

The Applicant originally submitted an application for a relocation of a large license, however due to the COVID 19 situation, the fire inspections are currently suspended. The Applicant will be granted an emergency waiver for the large capacity. The Applicant acknowledges that once the stay at home order has been lifted, this emergency waiver for the large capacity will no longer be valid and she will have to cease caring for children in the large license capacity.

An exit interview was conducted. A copy of this report and Licensee Rights (LIC 9058) will be e-mailed to the Applicant. The Applicant was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2020

LIC809 (FAS) - (06/04)

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