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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700920
Report Date: 07/10/2019
Date Signed: 07/10/2019 11:57:10 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:AL-RRIBAT ACADEMYFACILITY NUMBER:
376700920
ADMINISTRATOR:JOSEFINA SYEDFACILITY TYPE:
850
ADDRESS:7183-A SARANAC STREETTELEPHONE:
(619) 589-6200
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:23CENSUS: 9DATE:
07/10/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Josefina SyedTIME COMPLETED:
12:15 PM
NARRATIVE
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LPAs Nancy Diaz and Elizabeth Rivera conducted an unannounced annual site inspection today. LPA met with site director, Josefina Syed. All required notices, forms and license were posted in an area visible to the parents or authorized person. There were 9 children observed present today with staff Josefina Syed, Alya Salem and Fahmo Gedi.
There were no bodies of water observed within the premises. Ms. Syed stated that there are no weapons maintained on site. There is a ratio of one teacher supervising no more than 12 children in attendance. Disinfectants, cleaning solutions, and other items that are dangerous to children are inaccessible via storage in locked cabinet in the bathroom. There are no medications maintained on site. Furniture are kept in good condition, free of sharp, loose or pointed parts. All toilets and handwashing facilities are safe and working in sanitary conditions. Uncontaminated drinking water is available both indoors and out.
Licensee operates the facility within the conditions, limitations and capacity specified on the license. Staff records contain appropriate documentation of education credits. At least one person trained in CPR and Pediatric First Aid is present. The person who signs the child in/out uses their full legal signature and records the time of day. Child’s admission agreement is available for review. Child is signed in/out by the person responsible for the child.
A handout was provided to the director today on “Effects of Lead Exposure”. Director shall provide a copy of this handout to all the daycare parents.
A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances.
Type B deficiencies were cited today. Type B violations if not corrected, could become a risk to the health, safety, or personal rights of children in care.
Updated Forms LIC 610, LIC 500 and LIC 309 shall be submitted to the department no later than July 22, 2019.
LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
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: AL-RRIBAT ACADEMY
FACILITY NUMBER: 376700920
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/12/2019
Section Cited

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As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.
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This regulation was not met as evidenced by LPAs' observation. The cushioning material under the climbing structure and swings have compacted and hardened. The cushioning material will not absorb falls.
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Children will not be allowed to use the climbing structure and swings until sufficient cushioning is installed.
Type B
07/22/2019
Section Cited

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No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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This regulation was not met as evidenced by LPAs' observation. During the inspection, a child was allowed to use the bathroom without staff visual supervision.
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Ms. Syed stated that she will meet with staff to remind them regarding visual supervision of children at all times including bathroom use. Ms. Syed will submit the minutes of her meeting and staff sign-in to the department no later than 7/22/2019.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 07/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2019
LIC809 (FAS) - (06/04)
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