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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620647
Report Date: 10/30/2024
Date Signed: 10/30/2024 02:47:50 PM

Document Has Been Signed on 10/30/2024 02:47 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
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:ALBAWAB, OSAMA FAMILY CHILD CAREFACILITY NUMBER:
155620647
ADMINISTRATOR/
DIRECTOR:		ALBAWAB, OSAMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 210-1743
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/30/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Osama AlbawabTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 10/30/24, Licensing Program Analyst (LPA), Denisia Jimenez and Licensing Program Manager (LPM), Scott Herring, met with Applicant, Osama Albawab for a pre-licensing inspection. Applicant and 2 minor children reside in the home. Background clearances are discussed, and LIS 531 is signed indicating that the adults currently living in the home and/or providing care and supervision to children have a criminal record clearance. Fire clearance was granted on 10/22/24.

Facility was inspected inside and outside as shown on the facility sketch and the following items were discussed:
· Fire clearance was received on 10/23/24. Fire pull alarm is located in the home’s great room (daycare room).
· This is a single story, 5 bedrooms and 3 bathrooms home and children will have access to the kitchen, great room, dining room, all 3 bathrooms, all bedrooms except bedroom #5, and backyard. Off-limits rooms/closets are made inaccessible by use of safety locks.
· There is an electric fireplace in the owner’s suite that applicant states will not be used during day-care hours. There is central air heating/cooling ventilation for safety and comfort.
· LPA observed in the great room (daycare room), little tykes children’s table for the children. LPA also observed in bedroom #2, 2 playpens, 3 booster seats, and cubbies in the closet. Children will nap in the bedrooms and great room (daycare room). Applicant understands he is to supervise children at all times. LPA provided applicant with Individual Sleeping Plan and Safe Sleep handout.
· Facility has 1 fire extinguisher located in the hallway. There is a functioning smoke alarm, carbon monoxide alarm and first aid kit in place.
· Applicant’s Pediatric CPR and First Aid certification was completed through EMS Safety with Emergency Medical Services Authority stickers (EMSA) and expires on 04/2025. Applicant stated he has 2 minor children 14 and older that will assist in the day care and applicant understands that minor assistants cannot be left alone with the day care children.
(Continued on 809-C)
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2024
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
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: ALBAWAB, OSAMA FAMILY CHILD CARE
FACILITY NUMBER: 155620647
VISIT DATE: 10/30/2024
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· Preventative Health and Safety with Nutrition and Prevention of Lead exposure certification was completed on 12/16/2022.
· Applicant completed the Mandated Reporter Training on 10/15/2024.
· Knives are stored in the top kitchen cabinet. Medications are stored inside the laundry room on top of the shelf. Cleaning compounds are stored in the laundry room on top of a shelf and the door will have a safety lock attached on the upper part of the door.
· Advised applicant fire drills are to be conducted once every 6 months and must be documented with date and time. A fire drill log was provided as an example.
· Applicant is advised at least one staff member with current training in pediatric first aid and pediatric CPR is to be on site at all times children are present.
· There are no bodies of water in the home or premises.
· Applicant states there are no pets in the home or on the premises.
· Applicant states there are no firearms or ammunition in the home or premises. No poisons were observed in the home. Applicant was advised that all poisons and chemicals kept inaccessible to children.
· Applicant is reminded that any advertising (of day-care) such as business cards, flyers/posters, and/or signs must include facility number as per Title 22 Regulation "Advertisements and License Number" 102359 (a).
· Applicant is advised that smoking is prohibited on the premises of a family childcare home as specified in Health and Safety Code Section 1596.795(a). Applicant states the home is smoke-free.
· Applicant states he will not be transporting day care children. Applicant understands that he must have proper car restraints and/or car seats for all the children under his care when transporting children.
· Fenced backyard has 4 tricycles for the children.
· LPA discussed safe sleep pending regulations and Safe Sleep Regulation Concepts were given to applicant.
· Applicant is advised it is his responsibility to read and maintain his facility incompliance with Title 22 Regulations. Title 22 Regulations can be found at www.ccld.ca.gov.
· SB 792 immunizations are on file.
· Applicant is advised Fresno Community Care Licensing Department has inspection authority and can inspect all rooms in the home, garages and/or separate dwellings on the premises.
(Continued on 809-C)
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
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
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: ALBAWAB, OSAMA FAMILY CHILD CARE
FACILITY NUMBER: 155620647
VISIT DATE: 10/30/2024
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·Incidental Medical Services (IMS) policy was discussed. Incidental Medical Services (IMS) are not currently being provided. 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.

Required postings, forms packet, which included Parent Notification Requirement and LIC9224 were provided and discussed in detail. Applicant is advised that he may access CCLD website at www.ccld.ca.gov for additional forms and licensing updates. Applicant is also reminded that it is his responsibility to read the regulations periodically. Applicant states he will operate his day care Monday through Friday from 7:00AM to 12:00AM and other hours as arranged. No overnight care will be provided.

LPA & applicant discussed the Community Care Licensing website: LPA and applicant discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Childcare advocates program” and register to PIN.




Pending a final review of application file, licensure as a Large Family Day Care Home capacity of 14 children ages under 18 years will be recommended effective 10/30/2024.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
LIC809 (FAS) - (06/04)
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