376628689-9-11-2020-20-CC-LGAO-BTCMLJ-20200911094225

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376628689
Report Date: 09/10/2020
Date Signed: 09/11/2020 09:43:21 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:	JAMA, SAFIYO FAMILY CHILD CARE		FACILITY NUMBER:	376628689
ADMINISTRATOR:	SAFIYO JAMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 254-8654
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92105
CAPACITY:	14	CENSUS: 0	DATE:	09/10/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Safiyo Jama		TIME COMPLETED:	04:00 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	LPA, Luigi Gargaro, conducted an announced prelicensing inspection for a relocation with the applicant to ensure compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. The visit was conducted as a tele- inspection via Zoom due to COVID-19. The two story home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher and smoke and carbon monoxide detectors meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. The applicant was asked whether she had any bodies of water or weapons in the home and she replied no. CPR and First Aid expire on August of 2021 for both the applicant and two sons and assistant Hamdi Mohamed. 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. Applicant rents the home and provided proof of control of property in the form of a lease agreement that was submitted with her original application. Applicant will be using the following rooms for childcare: the kitchen, the dining area, the living room, the bedroom and the bathroom all located in the downstairs portion of the home. Off limits is the garage and the entire upstairs of the home which contains the second, third and fourth bedrooms and the home's second bathroom. The garage is made off limits with a door knob cover that is installed on its door handle while the upstairs is made off limits with a secured safety gate that is installed at the bottom of the home stair case. The home does not have a dedicated back yard as it is immediately next to the neighboring residence. Applicant will use her front yard and her left side yard area for outdoor play but as there is currently home construction occurring at structure next door and no side containment fencing, applicant understands that direct supervision must be provided at all times when children are playing in the side or front yard areas. The side yard on the right side of applicant's home is the property of her immediate neighbor and will not be used by the applicant.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2020

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: JAMA, SAFIYO FAMILY CHILD CARE	FACILITY NUMBER: 376628689
	VISIT DATE: 09/10/2020

NARRATIVE

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Applicant was licensed as a large family child care home at her last location and requested to also have a large license for up to 14 children at this new location. A fire inspection was conducted by the San Diego Fire Department on 08/27/20 and a clearance was granted on that day for use of the first floor but not for the second floor or garage (see copy of approved fire clearance located in facility file).

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.

LPA and applicant discussed California Megan's Law and he provided applicant with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis.

No corrections are needed, however, the applicant will be issued a provisional license for 14 today as she is still required to obtain an updated EMSA approved Preventative Health certificate that includes the additional one hour lead prevention component. Applicant has 90 days, until 12/10/20, within which to obtain the certificate and submit it to analyst. Once received, license will be changed from a provisional one to a regular status one.

Analyst reviewed the report with applicant during the tele-inspection. A copy of the report will be e-mailed to applicant and she was advised that acknowledgement of the receipt of the report is to be received within twenty-four hours.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi Gargaro	TELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2020

LIC809 (FAS) - (06/04)

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