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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408363
Report Date: 08/09/2023
Date Signed: 08/09/2023 01:50:34 PM

Document Has Been Signed on 08/09/2023 01:50 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:IQRA ELEMENTARY SCHOOLFACILITY NUMBER:
197408363
ADMINISTRATOR:RUBINA AHMEDFACILITY TYPE:
850
ADDRESS:11439 ENCINO AVENUETELEPHONE:
(818) 582-6024
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: DATE:
08/09/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Rubina AhmedTIME COMPLETED:
01:45 PM
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On 08/09/2023 at 9:10 am Licensing Program Manager (LPM) Lisa Rios and Licensing Program Analyst (LPA) Maria Rendon arrived to IQRA Elementary to conduct an unannounced Annual Required Inspection and met with Director Rubina Ahmed. At 9:15 am the director guided LPM and LPA toured the facility indoors and outdoors. At the time of the visit there were no children in care because school is summer break, classes will begin August 16, 2023.

Days and hours of operation are Monday-Thursday 7:30 am-3:30pm and Friday 7:30 am – 2:30 pm.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Tables and chairs meet the needs of the children in care. LPM and LPA observed 1 carbon monoxide detectors located in the classroom. LPA was able to hear a successful test of the carbon monoxide detectors.

Outdoor area was observed to be located near the parking lot. LPM and LPA observed the play area to be gated. Outdoor play area was observed with an apparatus that includes two slides, climbing structure, and swings and sand on the ground as a cushion to absorb falls.


LPM and LPA observed small broken plastic tic tac toe play equipment located on the outdoor structure by the slide and was advised for it to be removed before classes resume.

LPA observed the facility to be free of flies, insects and rodents. No poisons were observed in today’s inspection.

Disinfectants, and cleaning solutions were observed to be inaccessible and stored in the office cabinet. An bottle of air freshener was observed to be in a cabinet that is accessible to children. LPM and LPA advised that hazardous materials will be to be made inaccessible to children.

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SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Maria Rendon
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2023
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 5
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: IQRA ELEMENTARY SCHOOL
FACILITY NUMBER: 197408363
VISIT DATE: 08/09/2023
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All toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe.

Facility does not have access to a kitchen. Per director, the facility does not provide food for children. Children bring food from home, enough for breakfast, snack, and lunch.

Children bring bottled water from home and facility also provides bottled water. Director stated that water faucets are not used for drinking or food preparation.

LPM and LPA referred director Rubina Ahmed to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

LPM and LPA observed a first aid kit in the classroom. The first aid kit had a thermometer and a tweezer. Director was advised that first aid kit will need to have the following items: bandages or roller bandages, adhesive tape, scissors. antiseptic solution and sterile first-aid dressings.

LPM and LPA observed the following postings on the parent board located on the wall near the door of the classroom: Facility License, LIC 613A (9/96), the PUB 393 (8/02), Child Care Center Notification of Parents' Rights Poster, LIC 610 Emergency Disaster Plan with the telephone number of the local health department, information on child passenger restraint systems, and a contingency plan for action during fires, floods and earthquakes. Menu was not observed on the parent board because children bring food from home. LPA observed disaster drill log posted on the parent board showing facility is conducting disaster drills monthly.

LPA reviewed a sample of children’s files and observed files to be complete.

Review of staff files show staff files to be complete with mandated reporter, immunization verification of Tdap, MMR, and flu, and health screening.

Review of facility file shows Director has CPR/First Aid completed on 11/11/2021 and will expire 11/23 and has Preventive Health Practices with nutrition and lead components.

During today’s inspection no deficiencies were found.

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SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Maria Rendon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: IQRA ELEMENTARY SCHOOL
FACILITY NUMBER: 197408363
VISIT DATE: 08/09/2023
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Document Link IconTo 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.

Facility representative was reminded that all adults 18 and over, 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 Child Care Center. 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.



Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes 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 are available at: https://www.ada.gov/resources/child-care-centers/.

LPA and facility representative discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and appeal rights and this report was reviewed with Director Rubina Ahmed.

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SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Maria Rendon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023
LIC809 (FAS) - (06/04)
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