015700227-3-7-2023-52-CC-MPRE-CPPR7K-20230307114628

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700227
Report Date: 03/07/2023
Date Signed: 03/07/2023 11:46:38 AM

Document Has Been Signed on 03/07/2023 11:46 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	ELDEEB, SAHAR		FACILITY NUMBER:	015700227
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 4	DATE:	03/07/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Sahar Eldeeb		TIME COMPLETED:	11:46 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 3/7/2023 at 10:00am Licensing Program Analyst (LPA) Morgan Pringle met with Licensee Sahar Eldeeb for an Announced Annual 1-Year Inspection. Present during the inspection was the Licensee and her adult son Youssef Morsey. Licensee’s helper, Tamana Rahimi, and her minor child were present, but it was found that Tamana did not have a criminal record clearance. Licensee sent her to get her LiveScan completed and will not return until clearance is obtained. Two (2) preschool age children and two (2) school age children arrived during the inspection. Licensee lives in the home with her son Youssef. Licensee’s home was toured for a health and safety inspection. The facility operates from 6:00am – 6:00pm, Monday - Friday. Licensee holds a license for foster care of five (5) children. License number, 075200120. ON LIMITS AREA: Living Room/Playroom, Dining Room, Family Room, Kitchen, Hallway Half Bathroom, Bedroom next to Half Bathroom, Swimming Pool, Patio and Sand Area Behind Swimming Pool and Left and Right sides of the home OFF LIMITS AREA: Master Bedroom and Bathroom, Hallway Full Bathroom, Two (2) Bedrooms and Garage ISOLATION AREA: Living Room/Playroom The facility is a single-story home rented by the Licensee. The inside of the home was observed to be neat, clean with ample age appropriate materials for the children. All toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas. Licensee provides all food for the children. All food that may be brought from the children’s home will be properly labeled and stored. Licensee stated that they sometimes transport, but it is a case by case basis. There are no pets and no firearms in the home.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ELDEEB, SAHAR	FACILITY NUMBER: 015700227
	VISIT DATE: 03/07/2023

NARRATIVE

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The home has one (1) fully charged 3A40BC fire extinguisher in the family room. There is one (1) working combination smoke/carbon monoxide detector in the living room and both hallways. There is a smoke detector in all bedrooms. The home is equipped with central heat and air for proper ventilation. All infant cribs and play yards are clean and in good condition. The fireplace in the family room is blocked by furniture making it inaccessible to children in care.

The backyard is fully fenced and well maintained with ample age appropriate materials for the children. There is a locked shed that has been made inaccessible to the children. Attached to the home is a fully fenced patio with ample age appropriate materials for the children. There is an inground swimming pool that is properly fenced, locked and meets the Title 22 regulations. Licensee stated that children are allowed to use the pool only when she is present and with the proper safety equipment and lifejackets. LPA Pringle informed the Licensee that a pool is a liability and stressed the importance of supervising children at all times when in the pool. There is a fully fenced sand area behind the pool with materials for the children and a small trampoline. Licensee uses the gated sides of the home for art and play as well.

Licensee’s Health and Safety training has been completed and Pediatric CPR and First Aid training is complete and expires on 9/20/2023. Licensee’s Mandated Reporter training is complete and expires 2/8/2025. LPA obtained the fire/disaster drill log. Log is complete with the last drill completed 1/31/2023. All adults living and working in the home have obtained a criminal record clearance. All required forms are posted in the family room. LPA obtained a sample of the children’s files, helpers files and facility roster.

Licensee was reminded that California Law requires Licensee to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. The Licensee is reminded that any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing. Children’s Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. LPA informed Licensee that all forms can be downloaded at www.ccld.ca.gov.
Licensee was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Licensee was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every two (2) years by visiting http://www.mandatedreporterca.com

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ELDEEB, SAHAR	FACILITY NUMBER: 015700227
	VISIT DATE: 03/07/2023

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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.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee Sahar Eldeeb.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC809 (FAS) - (06/04)

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