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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100030
Report Date: 07/13/2021
Date Signed: 07/13/2021 01:30:48 PM

Document Has Been Signed on 07/13/2021 01:30 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:ODEESH, TANYA FAMILY CHILD CAREFACILITY NUMBER:
376100030
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Tanya OdeeshTIME COMPLETED:
01:45 PM
NARRATIVE
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On July 13, 2021 at 9:50 a.m. Licensing Program Analyst (LPA), Leilani Curtis conducted an unannounced Annual Inspection and met with Licensee, Tanya Odeesh. Also present were the licensee’s parents Astefanous Gorgees and Maryam Gorgees. Language Link interpreter ID#12322 translated for the licensee. The licensee’s primary language is Arabic. There were no children present. LPA conducted a tour of the home inside and outside per facility sketch. Licensee is using the following areas for daycare: living room, dining area, kitchen, bedroom #1, bedroom #2, bathroom #1 (located within bedroom #1) and enclosed rear and side yard. Off-limits areas include: bedroom #3, bedroom #4, bathroom #2 and garage.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Home is clean, orderly and has adequate ventilation. Children’s toys and play equipment are available and observed free of hazards. There are no stairs in the home. There is a working telephone/email address. There were cleaning compounds and medication accessible to children in bathroom #1 and knives and a lighter accessible to children in a kitchen drawer. There is no fireplace. The fire extinguisher and carbon monoxide detector are operational. The licensee does not have an operational smoke detector. Licensee states there are NO firearms or other weapons in the home. Outdoor play area is fenced. There are hazardous items in the outside yard including lighter fluid, a lighter, charcoal and barbecue tools which are accessible to children. There is a fire pit located in the side yard. The licensee states that the fire pit will not to be used when daycare children are present. There are no existing bodies of water present. Children records were reviewed for Emergency Information. The licensee does not have a roster or a completed disaster/fire drill log available for review. There are no new adults living or working in the home over the age of 18 years. All adult residents and helpers have submitted or been cleared for criminal record and child abuse index clearances or exemptions. Pediatric CPR and First-Aid certificates are valid through August 2022.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 07/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/13/2021
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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ODEESH, TANYA FAMILY CHILD CARE
FACILITY NUMBER: 376100030
VISIT DATE: 07/13/2021
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LPA reviewed the following with Licensee: Safe Sleep Regulation Concept Handout/PIN 20-24-CCP, Car Seat Law, emergency drills, effects of lead, SIDS, and Shaken Baby Syndrome. Licensee is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation. Licensee is aware that interference with a child’s daily functions, corporal punishment, physical and mental abuse is not allowed. Licensee is reminded to make anything that reads, "Keep Out of Reach of Children" inaccessible to children. Licensee is exempt from Mandated Reporter AB1207 training certification due to applicant having limited English proficiency. Immunization records per SB792 were reviewed and are in compliance.

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, 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: http://www.ada.gov/childqanda.htm.

See LIC809D for cited deficiencies. LPA reviewed this report with Licensee and provided a copy of appeal rights (LIC 9058 01/16). Her signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed Licensee post notice of site visit.

Access our updated Regulation & Forms by using our WEBSITE: http://ccld.ca.gov.
Duty Officer: (619) 767- 2248, Monday thru Friday 8am-5pm.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on Child Care, go under Quick Links and Quarterly Updates, click on “Receive Important Updates” then enter your email address and choose which program(s) you would like to subscribe to and click “subscribe”.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 07/13/2021 01:30 PM - It Cannot Be Edited


Created By: Grace Curtis On 07/13/2021 at 12:07 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ODEESH, TANYA FAMILY CHILD CARE
FACILITY NUMBER: 376100030

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/13/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/27/2021
Section Cited
CCR
102417(g)(9)(A)1

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Operation of a Family Child Care Home. Each family child care home shall conduct fire drills and disaster drills at least once every six months. The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home. This requirement was not met as evidenced by:
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The licensee states that she will conduct and document a disaster/fire drill. The licensee will submit a copy of the disaster/fire drill documentation to LPA via email by POC due date.
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Based on LPA's record review the licensee does not have a completed disaster/fire drill log available for review. This poses a potential health and safety risk to children in care.
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Type B
07/16/2021
Section Cited
CCR102417(g)(1)

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Operation of a Family Child Care Home: The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: Fireplaces and open-face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal. This requirement was not met as evidenced by:
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The licensee states that she will install an operational smoke detector and send LPA a video of the smoke detector operating via email by POC due date.
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Based on LPA's observation the licensee does not have an operating smoke detector. This poses a potential health and safety risk to 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:Tashima Daniel
LICENSING EVALUATOR NAME:Grace Curtis
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/13/2021 01:30 PM - It Cannot Be Edited


Created By: Grace Curtis On 07/13/2021 at 12:15 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ODEESH, TANYA FAMILY CHILD CARE
FACILITY NUMBER: 376100030

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/13/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/27/2021
Section Cited
CCR
102417(g)(4)

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Operation of a Family Child Care Home: Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger to children shall be stored where they are inaccessible to children. This requirement was not met as evidenced by:
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The licensee moved the knives and lighter located in the kitchen at the time of the inspection. The licensee states that she will either lock, latch or place on high surfaces the medication and cleaning compounds
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Based on LPA's observation the licensee has knives and a lighter accessible in a kitchen drawer, medication and cleaning compounds accessible in bathroom #1 and barbecue tools, charcoal, a lighter and lighter fluid accessible in the side yard. This poses a potential health and safety risk to children in care.
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located in bathroom #1 and place the barbecue tools, charcoal, lighter and lighter fluid in the yard into the locked yard shed. The licensee will send LPA a photograph of the corrections via email by POC due date.
Type B
07/27/2021
Section Cited
CCR102417(g)(8)

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Operation of a Family Child Care Home. All homes shall have a current roster of the children. This requirement was not met as evidenced by:
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The licensee states that she will complete a children's roster (LIC9040) and send a copy of the completed document to LPA via email by POC due date.
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Based on LPA's record review the licensee does not maintain a children's roster. This poses a potential health and safety risk to 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:Tashima Daniel
LICENSING EVALUATOR NAME:Grace Curtis
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2021


LIC809 (FAS) - (06/04)
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