197413600-12-6-2022-30-CC-LJCS-CLUQWD-20221206113146

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197413600
Report Date: 12/06/2022
Date Signed: 12/06/2022 11:32:05 AM

Document Has Been Signed on 12/06/2022 11:32 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	ABBASI FAMILY CHILD CARE		FACILITY NUMBER:	197413600
ADMINISTRATOR:	ABBASI, AISHA F.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 839-1714
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90034
CAPACITY:	12	CENSUS: 3	DATE:	12/06/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Aisha Abbasi		TIME COMPLETED:	11:30 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 12/6/2022, Licensing Program Analyst (LPA) Lillian Casillas, conducted an unannounced Annual Required Inspection and was met by Licensee, Aisha Abbasi. Days and hours of operation are Monday through Friday, 9:00 am to 4:30 pm. LPA toured the home inside and outside and a census was taken. This is a single story home 3 bedrooms and 2 bathrooms with living room, dining room, kitchen, front yard, backyard, garage. Childcare areas are: living room, bathroom 1, bedroom 1, bedroom 2, and front yard. Off-limits areas are: dining room, kitchen, bathroom 2, bedroom 3, backyard, and garage. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. LPA observed a fireplace in the living room made inaccessible by a screen. There is a working fire extinguisher in the kitchen and smoke/carbon monoxide detectors in the living room, bedroom 1, and bedroom 2. Safe toys and play equipment were observed. There is currently 1 infant (DOB 4/29/2021) in care. LPA discussed Safe Sleep Regulations with licensee. There is one crib or play yard for each infant in care, cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained. [CONTINUE ON PAGE 2]

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

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

FACILITY NAME: ABBASI FAMILY CHILD CARE	FACILITY NUMBER: 197413600
	VISIT DATE: 12/06/2022

NARRATIVE

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LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 7/14/2022. Licensee’s pediatric CPR/First Aid expires on 4/10/2023. All adults who reside or work in the home have a criminal record clearance or exemption.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee 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.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

A copy of this report was provided to Licensee, Aisha Abbasi. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J Casillas	TELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022

LIC809 (FAS) - (06/04)

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