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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842550
Report Date: 05/09/2023
Date Signed: 05/10/2023 05:01:44 PM

Document Has Been Signed on 05/10/2023 05:01 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:ABDRABOH FAMILY CHILD CAREFACILITY NUMBER:
334842550
ADMINISTRATOR:ABDRABOH, RANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
7606289918
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
05/09/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Rana AbdrabohTIME COMPLETED:
04:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Blanca Ruiz and Raymond Moorehead Jr. arrived at the facility to conduct a Case Management inspection for the purpose of addressing separate matters that were discovered during an inspection. LPAs met with licensee,Rana Abdraboh and licensee's assistant Abidalrahm Abdraboh. During the inspection, LPAs conducted a tour of the facility and census was taken. Upon arrival to the facility, 10 children were observed, 4 of them were infants. Some children were in playground and others in the living area. LPAs observed licensee bringing Child #1 to the living room. Child was observed in deep sleep in the car seat. LPAs advised the licensee to remove Child #1 from the car seat. Licensee then explained that Child #1's mother has requested for her child to sleep in the car seat. Child #1 was removed from the car seat, and placed in the play pen, and then later in a high chair. Later, during the inspection, Child #2 was also observed napping in the play pen with a blanket, pacifier (in mouth), a bottle, and a cup. Licensee stated that Child #2 is unable to sleep without blanket and/or pacifier or it will be difficult for Child #2 to sleep without crying.

Please See LIC809D for cited deficiencies of the California Code of Regulations, Title 22, Div. 12.

LPAs informed licensee Rana Abdraboh that this report dated 05/09/2023 document(s) (2) Type A citation(s) which shall be posted for 30 consecutive days as there are immediate risk(s) to the health, safety, or Personal Rights of children in care. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224) was provided to facility during this inspection. LIC 9224/Type A citation(s) must be provided to parents/guardian of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for the verification.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2023
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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Document Has Been Signed on 05/10/2023 05:01 PM - It Cannot Be Edited


Created By: Raymond Moorehead On 05/09/2023 at 02:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: ABDRABOH FAMILY CHILD CARE
FACILITY NUMBER: 334842550

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/10/2023
Section Cited
CCR
1024245(i)

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(i) If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible. This requirement was not met as evidence by: Upon inspection, LPAs observed C1 sleeping in a car seat for a few minutes. Licensee admitted leaving C1 in the car seat per C1's parent's request.
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Licensee provided a statement of understanding during inspection. after reviewed the New Safe Sleep Regulations Provider Information Notice (PIN) 20-24-CCP Safe Sleep Regulations in effect September 15, 2020.
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Per licensee, she did not remove the child from the car seat because C1 would wake up. LPAs stated "This poses an immediate Health and Safety risk to the children in care"
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Licensee ceased practice and understood that infants have to be moved to an appropriate crib, and/or mat/cot. Licensee agrees to submit proof of LIC 9227 and copy of sleeping log to CCL by 5/10/2023
Type A
05/10/2023
Section Cited
CCR102425(b)

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(b) Cribs or play yards shall be free from all loose articles and objects. This requirement was not met as evidence by: Upon inspection, LPAs observed C2 sleeping with a blanket and a pacificer in mouth. LPAs also observed a bottle and cup in her play pen while sleeping. Licesee was explained the suffocation and strangulation risk.
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Licensee provided a statement of understanding during inspection. after reviewed the New Safe Sleep Regulations Provider Information Notice (PIN) 20-24-CCP Safe Sleep Regulations in effect September 15, 2020.
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LPAs stated "This poses an immediate Health and Safety risk to the children in care".
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Aaron Ross
LICENSING EVALUATOR NAME:Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2023


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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: ABDRABOH FAMILY CHILD CARE
FACILITY NUMBER: 334842550
VISIT DATE: 05/09/2023
NARRATIVE
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Exit interview was conducted and report was reviewed with licensee Rana Abdraboh. A Notice of Site Visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC809 (FAS) - (06/04)
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