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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313625294
Report Date: 10/26/2023
Date Signed: 10/26/2023 12:52:54 PM

Document Has Been Signed on 10/26/2023 12:52 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:SABAWOON, BIBI ZAKIAFACILITY NUMBER:
313625294
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
10/26/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Bibi Zakia SabawoonTIME COMPLETED:
01:00 PM
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This is a Change of Location from previous facility #343624250.
Licensing Program Analyst (LPA) Jeremey McClain conducted a Pre-Licensing/Change of Location inspection with Licensee Bibi Zakia Sabawoon. Licensee is also applying for capacity increase to a large family child care. A fire clearance was granted on 10/16/2023 A health and safety inspection of the home was conducted.
Licensee’s husband/assistant was present and provided translation during the inspection.
Licensee resides in a single-story home consisting of four bedrooms, two bathrooms, a living room, a dining room, a kitchen and a back yard. The off-limits areas in the home will be all bedrooms except one, the laundry room, the kitchen, and the back yard. There is damage to the fence in the backyard that needs to be repaired before children can be allowed in the back yard. Licensee will keep this area off-limits until repairs have been made, and proof has been sent to LPA. Licensee understands that off-limits areas will remain must remain inaccessible to children in care. LPA advised Licensee that 100% supervision is required in areas outside of the home that are unfenced

Licensee plans to operate Monday through Friday from 2 pm to 9 pm.

The home appeared clean and orderly, and toxic and hazardous items are inaccessible to children. Functioning smoke and carbon monoxide detectors and a 2A10BC fire extinguisher were observed in the home. Current pediatric CPR and first aid training was verified and expires 02/07/2024. Licensee stated there are no weapons in the home. No bodies of water were observed at the home.

All individuals subject to criminal background review have obtained a criminal record clearance. Licensee was 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, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE: DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/26/2023
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SABAWOON, BIBI ZAKIA
FACILITY NUMBER: 313625294
VISIT DATE: 10/26/2023
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LPA discussed CCR Regulation 102416.5 regarding staffing Ratio and Capacity for a large license. Licensee understands that their own children under the age of 10 will count towards the ratio when present. LPA discussed personnel requirements and records outlined in CCR Regulations 102416 and 102416.1.

LPA informed Licensee that all inspections after today will be unannounced.

LPA discussed the safe sleep regulations with Licensee 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 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 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: http://www.ada.gov/childqanda.htm

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 platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Effective today, 10/26/2023, Licensee is approved for a Large Family Child Care License. Licensee can provide care for 12 children (when there is an assistant present) with no more than 4 infants or capacity of 14 children when 1 child in kindergarten or elementary school and 1 child at least age 6 and a maximum of 3 infants. Infants are children under the age of two years. Licensee understands that when there is no assistant present, ratios of a small capacity must be adhered to.
Exit interview conducted and report was reviewed with the licensee Bibi Zakia Sabawoon.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2023
LIC809 (FAS) - (06/04)
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