073409467-11-20-2023-02-CC-BCRS-CXRV33-20231120150404

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409467
Report Date: 11/20/2023
Date Signed: 11/20/2023 03:04:17 PM

Document Has Been Signed on 11/20/2023 03:04 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	PANAHIRAD, SAHAR		FACILITY NUMBER:	073409467
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	11/20/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Sahar Panahirad		TIME COMPLETED:	03:15 PM

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On November 20th, 2023, Licensing Program Analyst (LPA) Brittany Crass, and Licensing Program Manager (LPM) Loretta Dyson, conducted an announced Pre-licensing inspection and met with applicant Sahar Panahirad. LPA disclosed the purpose of the inspection and was granted entry into the facility by the applicant. Residing in the home are the applicant, her husband, and their two children. The applicant, her husband, and one daughter were present during the inspection. The facility was toured to conduct a health and safety inspection. The applicant plans to operate Monday through Friday from 6am-6pm.

This home is a two story house consisting of 4 bedrooms, 3 bathrooms, a living room, dining room, kitchen, play area/tv room, two closets, a pantry, and a garage. There is also a fully fenced in backyard. The home was observed to be neat and clean with heating and ventilation for safety and comfort of the children.

On-limit-areas are: the downstairs bedroom, the downstairs bathroom, the TV room/playroom, the kitchen, and the backyard.

Off-limit-areas are: the living room, the dining room, the storage closets, the pantry, the garage, and the entire second floor of the home.

The Outdoor play area: had no play structures at the time of visit, and was observed to be free from any hazardous items. LPA reminded the applicant to notify licensing if any play structures are added.

Isolation area: downstairs bedroom.

There are age appropriate toys which are observed to be safe, clean and in good repair. The Applicant plans on providing homemade food for the children. There are no bodies of water or pools accessible to children in care during today’s inspection. LPA did not observe any hazardous materials or toxins accessible to children during today’s inspection. There's a fireplace in the living room which is off-limits to children in care. Per Applicant there are no firearms in the home. The Applicant will be providing Overnight Care depending on parents needs. Off limits areas are made inaccessible by closed and/or locked doors, gates, and visual supervision.

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Brittany Crass
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2023

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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: PANAHIRAD, SAHAR	FACILITY NUMBER: 073409467
	VISIT DATE: 11/20/2023

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The home has a fully charged 3A40BC fire extinguisher in the kitchen, a working combination smoke/carbon monoxide detector in the tv room, and a working telephone. The applicant’s CPR certificate expires on 8/24/2024 and the Mandated Reporter Certificate expires on 10/20/24. The Applicant plans to obtain Liability Insurance.

The applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Applicant owns the home and provided proof of control of property.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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) or (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.

LPA reviewed the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

LPA discussed the safe sleep regulations and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed the applicant 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

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Brittany Crass
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2023

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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: PANAHIRAD, SAHAR	FACILITY NUMBER: 073409467
	VISIT DATE: 11/20/2023

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On, 9/13/2023, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

The applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the applicant Sahar Panahirad.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Brittany Crass
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2023

LIC809 (FAS) - (06/04)

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