195700454-1-15-2025-58-CC-AMOS-DCXV83-20250115151203

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 195700454
Report Date: 01/15/2025
Date Signed: 01/15/2025 03:12:41 PM

Document Has Been Signed on 01/15/2025 03:12 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	SABAG FAMILY CHILD CARE		FACILITY NUMBER:	195700454
ADMINISTRATOR/ DIRECTOR:	YAFA SABAG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 926-5917
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90035
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	01/15/2025
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:00 PM
MET WITH:	Yafa Sabag		TIME VISIT/ INSPECTION COMPLETED:	03:30 PM

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 1/15/2025, Licensing Program Analyst (LPA) Amelia Morales conducted an announced pre-licensing inspection. The purpose of the inspection was to ensure that the health, safety, and personal rights as required by Title 22 Regulations governing California Family Child Care Homes will be met by the applicant. Upon arrival, LPA was greeted and let into the residence by Applicant Yafa Sabag. LPA was guided on a tour of the residence. An entrance checklist was provided. The applicants is requesting a large capacity of 14 children ages 15 months to 5 years old. Per applicant the Family Child Care Home will operate Monday through Thursday 8:15AM -4:00 PM and Friday 8:15AM -12:30 PM Applicant stated that a cell phone will be the main contact number while children are in care. Family members residing in the home include applicant and applicants husband. All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a single story home that consists of : front yard, two bedrooms, one bathroom, hallway, kitchen, living room (daycare), dining room (daycare), side yard #1 and side yard # 2, and the additional unit/ back house that has a different address located in the back. These areas will be off-limits to the children in care: all two bedrooms, which has door level locks making it inaccessible to the children in care. The kitchen that has a baby gate, rendering it inaccessible to the children in care. In the kitchen, cleaning supplies are stored in the cabinet underneath the kitchen sink. It should be noted that the additional unit/back house has a different address, a fence separating the homes, a different entry way and it is off limits. LPA advised that there should be 100% supervision when children are outside. The areas that will be accessible to the children in care are: living room (daycare), dining room (daycare), hallway, the one bathroom, front yard and side yard #1. Page 1

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SABAG FAMILY CHILD CARE	FACILITY NUMBER: 195700454
	VISIT DATE: 01/15/2025

NARRATIVE

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LPA observed the following: the home is clean and orderly. There were age appropriate toys and play items. In the kitchen there was a completed First Aid Kit inside the cabinet next to the fridge, and the required fire extinguisher(size 2A:10-B:C) that was purchased on 11/20/2024.

For napping equipment there was 1 playpen, and 8 cots. Per Applicant, parents will provide fitted sheets, and will give to parents to wash every Friday. Applicant was informed that baby-walkers, bouncers, jumpers, and other prohibited items will not be used for children in care. All electrical outlets have safety covers. Per Applicant, the home will provide food for children in care (breakfast, lunch, and PM snack). There are three combination smoke/carbon monoxide detector in each bedroom and hallway. All detectors were tested and found to be operable.

There is a fireplace, which is located in the living room area it is enclosed with a magnetic fireplace cover. Per applicant fireplace is not in use, and is non-operable. Applicant states she will not use the fireplace during facility hours. Per applicant, there are no weapons or firearms of any kind in the facility. LPA discussed that when a child shows signs of illness, they shall be separated from other children until they are picked up. The isolation area will be in the dining room, separate from other children in care.

Children will utilize the front yard to play. LPA observed that the outdoor play area is fenced. Per applicant, when children are having outside time, they will ensure 100% supervision and never leave children unattended. There are no bodies of water on the premise.

The applicants completed Preventive Health and Safety/Childhood Nutrition/ Lead Exposure Prevention on 11/17/2024 and Mandated Reporter training on 11/06/2024. The applicant has current Pediatric CPR/First Aid training completed on 11/06/2024, applicant completed Family Child Care Home Orientation on 10/21/2024

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SABAG FAMILY CHILD CARE	FACILITY NUMBER: 195700454
	VISIT DATE: 01/15/2025

NARRATIVE

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LPA reviewed with applicant form LIC 311D Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. LPA provided applicant the following required postings: LIC 610A Emergency Disaster Plan, LIC 9148 Earthquake Preparedness Checklist, and PUB394 Notification of Parents Rights Poster. LPA advised that once licensed, the facility license shall be posted. A fire/disaster drill log shall be available and performed at least every six months.

Applicants were 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.

Because the applicant rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

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.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SABAG FAMILY CHILD CARE	FACILITY NUMBER: 195700454
	VISIT DATE: 01/15/2025

NARRATIVE

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LPA discussed the safe sleep regulations with applicant 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 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. LPA provided applicant with a sample sleep log and the sleeping log.

On 11/20/2024, 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. There was a subsequent hit on 01/09/2025. However, on 1/10/25, LPA Morales verified that the subject in question does not live in the residency.

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

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.

The residence appears to be in compliance with Title 22 regulations.

Exit interview conducted and report was reviewed with Applicant Yafa Sabag.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025

LIC809 (FAS) - (06/04)

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