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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100011
Report Date: 08/09/2021
Date Signed: 08/09/2021 12:07:54 PM

Document Has Been Signed on 08/09/2021 12:07 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:EL-GHOROURY, MELANIE FAMILY CHILD CAREFACILITY NUMBER:
376100011
ADMINISTRATOR:MELANIE EL-GHOROURYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 652-5211
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 10DATE:
08/09/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Licensee Melanie El-GhorouryTIME COMPLETED:
12:20 PM
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On 8/9/2021 at 10:50 a.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of an Annual inspection. During this visit, there were 10 children in care with Licensee and her husband. Licensee's assistant, Hanna is out ill today. Licensee was reminded of the Covid-19 procedures for an exposure or positive case in staff or children. The facility is within ratio and capacity.

LPA toured the home. Primary child care areas are family room, kitchen, outdoor potty and fully fenced back yard. Off limits areas have been made inaccessible with the use of safety gates. There are no weapons stored in the home or on the property and there are no bodies of water present. The fireplace has been secured. The fire extinguisher is full of adequate size and located on the wall just inside the door of the garage. The smoke alarm and carbon monoxide detector are operational. The home is clean, orderly and has adequate ventilation and heating. Licensee has provided sufficient space for the children to eat and play within the home. The program is half day and there is no napping. Children’s toys and play equipment are safe and age appropriate. There is a working telephone and all required forms are posted. Outdoor play space is fully fenced and supervision is provided at all times. No hazards were noted. Children’s files were reviewed for emergency information. Licensee's pediatric CPR/FA certificate with A-B-Cpr expired in June. She has been unable to register for a class as they are all full but will use the exemption and sign up for the next available. SB 792 (Staff Immunizations - Measles, Pertussis, Influenza) and current TB tests are required for all staff. Requirements have been met. Current AB 1207 (Mandated Reporter Training certificate are on file for all staff.

Licensee is to be present in the home to ensure children are supervised and reminded that no children are to be left in parked vehicles and car seats are not to use used for sleeping. Children will be observed upon entry and throughout the day for signs of illness and an appropriate isolation area is established for sick children. Capacity limitations were reviewed. Safe Sleep was discussed to include requirements for cribs/play yards, proper infant placement, supervision and documentation while sleeping. Licensee does not take children
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: EL-GHOROURY, MELANIE FAMILY CHILD CARE
FACILITY NUMBER: 376100011
VISIT DATE: 08/09/2021
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under 2 years of age. Updated Covid 19 Guidelines for Child Care were provided. LPA discussed California Megan's Law and the website was provided as follows: www.meganslaw.ca.gov.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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/ (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. Services are not in place.

Licensee is advised to sign up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.”

See LIC 809D for deficiencies. Appeal Rights were discussed and provided. Signature at the bottom of this report confirms receipt.

Notice of Site Visit was posted during this visit and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
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Document Has Been Signed on 09/27/2021 04:11 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 09/21/2021 08:00 AM


Created By: Joelle Redding On 08/09/2021 at 11:41 AM
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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: EL-GHOROURY, MELANIE FAMILY CHILD CARE
FACILITY NUMBER: 376100011

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/10/2021
Section Cited
CCR
102370(d)(1)

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THIS IS AN AMENDED VERSION OF AN ORIGINAL REPORT. Criminal Record Clearance. All individuals subject to a criminal record review... shall prior to ...residing...in a licensed facility...Obtain a California clearance or a criminal record exemption...

This requirement is not met as evidenced by:
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Licensee states that she thought that the clearance Mikayla already had would be applicable to her license. She states that she will have Mikayla fingerprint cleared right away. She is a student at USD and will not be interacting with the day care children.
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Based on conversation with Licensee, adult resident Mikayla Hatzopoulos, has been living in the home since the latter part of 2020. She has a fingerprint clearance with a different agency but not an active clearance with Community Care Licensing. This is a potential hazard to children in care and a $500 civil penalty will be issued on for LIC 421
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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:Renesha Pack
LICENSING EVALUATOR NAME:Joelle Redding
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2021


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Document Has Been Signed on 08/09/2021 12:07 PM - It Cannot Be Edited


Created By: Joelle Redding On 08/09/2021 at 11:46 AM
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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: EL-GHOROURY, MELANIE FAMILY CHILD CARE
FACILITY NUMBER: 376100011

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2021
Section Cited
CCR
102418(a)

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Immunizations. Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

This requirement has not been met as evidence by:
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Licensee states the she is in the process of working with Child #1's parents to obtain the medical exemption and was not aware that it had to be in place prior to the child's admission to the facility. She will ensure that immunizations or a medical exemption are in place before Child #1 returns to care and will ensure the same for any other child.
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Based upon observation, file review and interview with Licensee, Child #1, who was present today, is not immunized and does not have a medical exemption on file.
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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:Renesha Pack
LICENSING EVALUATOR NAME:Joelle Redding
LICENSING EVALUATOR SIGNATURE:
DATE: 08/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/09/2021


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