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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004035
Report Date: 10/04/2019
Date Signed: 10/04/2019 03:30:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MEKKY, RASHA A.FACILITY NUMBER:
384004035
ADMINISTRATOR:MEKKY, RASHA A.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 246-5007
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 9DATE:
10/04/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Rasha A. MekkyTIME COMPLETED:
03:45 PM
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2, Licensing Program Analyst, LPA Yee conducted an annual random inspection today. There are 9 napping children, 2 helpers and licensee present today. The purpose of the inspection was explained. Residents at the facility are Rasha, her husband, and their 5 years old son. No change in the daycare areas. Daycare area: living room #1, activity room, kitchen, dining room, living room #2 and backyard. The remaining areas of the home are off-limit. The home is equipped with a fully charged fire extinguisher, smoke detector, and carbon monoxide detector. The fire clearance is on file. Required immunization for staff is on file. The facility provides breakfast, snacks, and lunches. All the staff members have been completed Child Abuse Mandated Reporter Training, AB1207. LPA reminding the licensee that the training needs to be renewed once every 2 years. Child Abuse Mandated Reporter Training, AB1207. www.mandatedreporterca.com. The children's roster was reviewed. SIDS "A Child Care Provider's Guide to Safe Sleep" information was provided today. This facility provides Incidental Medical Services - IMS. LPA reviewed storage of medication and equipment/supplies and reviewed children's, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 102417. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, Available at http://www.ada.gov/childqanda.htm. A written IMS plan is on file. All staff members have current CPR & 1st aid until 9/30/21.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019
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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