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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628999
Report Date: 11/13/2020
Date Signed: 11/13/2020 09:21:03 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:ABDULAHI, SUAD FAMILY CHILD CAREFACILITY NUMBER:
376628999
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
11/13/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Suad AbdulahiTIME COMPLETED:
09:15 AM
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Licensing Program Analyst (LPA) Jo Ann Legaspi conducted a pre-licensing relocation inspection with Applicant Suad Abdulahi. Due to the COVID 19 outbreak, this inspection was done as a tele visit upon the What’s App platform. The inspection’s purpose is to ensure that the home follows standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Present in the home was the Applicant and two (2) related children. This two (2) bedroom, one (1) bathroom downstairs apartment unit was toured and inspected. The daycare operational schedule will be Mondays through Saturdays; the hours will be dependent upon the families' needs.

Applicant will use the following areas for childcare: the living room, one (1) bedroom and the bathroom. The off limits areas include kitchen and remaining bedroom. The remaining bedroom is made inaccessible to day care children by use of a door safety knob. The kitchen is made inaccessible to children by use of a child safety gate. There are no bodies of water observed during time of visit. The fire extinguishers are rated 2A 10B: C and located in the kitchen. The smoke and carbon monoxide detectors meet requirements and are operational. Poisons, detergents, and cleaning compounds are secured inaccessible to children in care by placement in a locked hallway closet; this closet doorknob has a child safety knob cover. Medicines are in located in a high cabinet located in the kitchen. Children’s toys and play equipment are available. The Applicant has a working telephone/cell phone. The Applicant agreed to notify licensing should her telephone number ever change. The Applicant indicated there are no firearms or other weapons in the home.

The Applicant intends to conduct outdoor activities in the neighborhood park. The Applicant acknowledges continuous, visual supervision shall be given whenever children are engaged in outdoor activities. The Applicant intends to occasionally transport the children in their own vehicle. The Applicant acknowledges children shall never be left unattended in the daycare vehicle and transported in lawful safety seats. The Applicant further confirms maintenance of the daycare vehicle shall be upheld to ensure safety.

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2020
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 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: ABDULAHI, SUAD FAMILY CHILD CARE
FACILITY NUMBER: 376628999
VISIT DATE: 11/13/2020
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Applicant maintains documentation of proof of control of property for review by the Department. Applicant has completed the preventative health and lead poisoning prevention courses. The Mandated Reporter training course was completed on 12/02/2019. Pediatric CPR and First Aid certifications expire on 10/27/2021. 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 comply. Applicant reported only she will care for daycare children. 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.

Families will use only one entrance into the facility. The Applicant will ask all persons entering the facility pertinent COVID 19 screening questions and to wash their hands, however, will attempt only children’s physical access into the daycare while their parents remain at the front entrance. If parents are to enter the facility, they will be asked to wear face masks. Visual wellness checks will be done on all children upon arrival and health questions will be asked when there is a concern. Children’s temperatures will be taken via thermometer. The thermometer will be disinfected after each use. The Applicant will wear a face mask while caring for the children. The Applicant will attempt to socially distance the children throughout the daycare day and attempt to have the children (2 years and older) wear face masks. The Applicant will wear gloves while providing the children with food, cleaning/sanitizing and handling trash. The Applicant and LPA discussed public health recommendations as described upon the COVID 19 Self-Assessment document.

The Applicant does not plan on providing Incidental Medical Services (IMS) to clients currently. 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


SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2020
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: ABDULAHI, SUAD FAMILY CHILD CARE
FACILITY NUMBER: 376628999
VISIT DATE: 11/13/2020
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The New Provider Resource Packet was reviewed with the applicant including information on the following: Provider Information Notice (PIN) 20-24-CCP/Safe Sleep, Lead Exposure, SIDS, shaken baby, child abuse reporting, children’s records, facility records, required postings, immunizations, unusual incident report, facility roster, car seat law, visual for ratio/capacity, and the 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. Landlord consent is on file.

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. Southern California Child Care Advocate (SCCCA) information was provided. LPA enrolled Applicant onto the SCCA email list through the CCLD website so she may receive updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

No corrections are needed. A small license is issued effective today 11/13/2020. The new license will be mailed to the Applicant.

An exit interview was conducted. A copy of this report and Licensee/Appeal 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 VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3