274417325-8-15-2023-07-CC-JMAS-CUQUJF-20230815153727

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274417325
Report Date: 08/15/2023
Date Signed: 08/15/2023 03:37:50 PM

Document Has Been Signed on 08/15/2023 03:37 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	BEBAWI, EVALEN & BEBAWY, KAROLEEN		FACILITY NUMBER:	274417325
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 6	CENSUS: 5	DATE:	08/15/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Karoleen Bebawy & Evalen Bebawi		TIME COMPLETED:	03:50 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	Licensing Program Analyst (LPA) Joe Macias conducted an unannounced Case Management/ Increase of Capacity Inspection. LPA was greeted and granted entrance by the Licensees Karoleen Bebawy & Evalen Bebawi. The Licensees recently submitted an application for an increase of capacity. The Licensees are currently licensed to provide care for up to 8 children, and wishes to obtain a large license to provide care for up to 14 children. The purpose of today’s inspection is to ensure the home is in compliance with *Title 22 California Code of Regulations.* Prior to today's inspection LPA Macias received an approved fire clearance from Monterey County Regional Fire District. Todays census is 5 (3 infant, 2 preschool age). The Licensees and adult sons/ brothers Mina Bebawi, and Beshoy Bebawi are the only adult who reside in the home. Also present today was the Licensee Evalen Bebawi's husband Atta Soliman who was visiting and does not reside at the address. The day care hours of operation are Monday - Friday, 7am - 5:30pm. The Licensee's CPR and First Aid are current, and expire March 2025. LPA toured the indoor and outdoor areas of the home during today's visit. LPA reviewed a current Child Care Facility Roster and Fire/Disaster drill log during today's visit. The last fire disaster drill was conducted on August 1, 2023. LPA Macias reviewed the children files and observed all required documents present. The Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the children in care. The home is orderly, and safe for the day care children. LPA did not observe a wall heater in the home (central heat). LPA observed a securely barricaded/ gated stair case in the home. Off limit areas of the home: entire second floor, and garage. LPA observed a fully charged 2A10BC fire extinguisher, working smoke/carbon monoxide detectors, and no bodies of water. The Licensee states that there are no weapons in the home. All detergents, cleaning compounds, poisons, medications, and other similar items are out of reach and inaccessible to children. Licensee states that she does not administer medications at this time.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: BEBAWI, EVALEN & BEBAWY, KAROLEEN	FACILITY NUMBER: 274417325
	VISIT DATE: 08/15/2023

NARRATIVE

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Supervision of children was discussed with the Licensees and she understands that she must be present in the home during day care hours to ensure that the children are safe and supervised at all times. The Licensees understands her current capacity options and she understands that he cannot have more than 8 children in the home at any time (until large license is approved). LPA provided the Licensees with the ratio/capacity chart for his reference. The Licensee states that she does not transport children; however she understands that children cannot be left in parked vehicles unattended any time.

Licensees Karoleen Bebawy & Evalen Bebawi were reminded that all adults 18 and over living or working in the home, 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.

LPA discussed the safe sleep regulations with the Licensees and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] 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.

The Licensees were informed of the MyChildCarePlan.org website; 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.

During the exit interview, the LICENSEES Karoleen Bebawy & Evalen Bebawi, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: BEBAWI, EVALEN & BEBAWY, KAROLEEN	FACILITY NUMBER: 274417325
	VISIT DATE: 08/15/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Exit interview conducted and report was reviewed with the licensees Karoleen Bebawy & Evalen Bebawi. LPA Macias advised the Licensees that a large family child care license will be issued pending the clearance of the Licensee Evalen Bebawi's husband Atta Soliman, as well as management approval.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023

LIC809 (FAS) - (06/04)

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