376628689-9-2-2021-20-CC-JARL-C6GQ8P-20210902115700

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376628689
Report Date: 09/02/2021
Date Signed: 09/02/2021 11:57:13 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: 1	DATE:	09/02/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	07:50 AM
MET WITH:	Safiyo Jama		TIME COMPLETED:	09:15 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	On September 2, 2021 a 7:50 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced Annual Required Inspection and met with the Licensee Safiyo Jama. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. One (1) daycare child and the Licensee were present in the facility during this inspection. This facility is a two story, four (4) bedroom, three (3) bathroom house. Licensee accompanied LPA inside and out of the facility during this inspection. The following areas used for childcare are: the downstairs area, which includes one (1) bedroom, one (1) bathroom, the living room and the kitchen. The garage is also located on the bottom floor, but its door is made inaccessible to children with a child safety doorknob. The lower kitchen cabinets have sliding cabinet locks. The off limits area is the top floor. Access to the stairs to the top floor is made inaccessible to children through use of child safety gates. The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. Hazardous items were observed inaccessible to children during this inspection. The storage areas for poisons and cleaning compounds are in the secured garage, kitchen cabinet and bathroom cabinet; the kitchen and bathroom cabinets were observed to have cabinet sliding locks. The Licensee has available toys, play equipment and materials. The home has a front and side yard for outdoor activities. Licensee was reminded that continuous supervision is to be given to children whenever engaged in outdoor activities. 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. Licensee has required immunizations. Licensee completed the Mandated Reporter Training on 06/29/2021. The facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 05/26/2021. There is one crib or play yard for each infant who is unable to climb out of the crib or play yard. Cribs or play yards are free from all loose articles and objects. The Provider physically

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: 09/02/2021

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
26
27
28
29
30
31
32

checks on sleeping infants every fifteen (15) minutes. The Provider currently does not care for infants 12 months or younger.

LPA discussed with the Licensee 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. LPA provided Licensee with written information about Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome and California Megan's Law. The website address to California Megan’s Law is: www.meganslaw.ca.gov. LPA discussed and provided Licensee with written information about the Child Care Advocate Program. The email address to the Child Care Advocate is: childcareadvocatesprogram@dss.ca.gov . Additionally, for general questions or questions regarding licensing requirements the Licensee was advised to 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.

No deficiencies cited.

LPA provided the Licensee with the Notice of Site Visit (LIC 9213 01/04). Licensee agreed to post this document for public viewing. An exit interview was conducted with the Licensee. The Licensee was provided a copy of their Licensee/Appeal Rights (LIC 9058 1/16 IF FAS) and their signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R Legaspi	TELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2