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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100135
Report Date: 05/07/2024
Date Signed: 05/07/2024 01:15:24 PM

Document Has Been Signed on 05/07/2024 01:15 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 DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SOMO, SALLY FAMILY CHILD CAREFACILITY NUMBER:
376100135
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 16CENSUS: 3DATE:
05/07/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Sally SomoTIME VISIT/
INSPECTION COMPLETED:
01:35 PM
NARRATIVE
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On 5/7/24 at 9:30 am, Licensing Program Analyst (LPA) Gerald Poindexter conducted an unannounced inspection for an Increase in Capacity application. LPA met with licensee Sally Somo. Also present was the licensee’s husband Roodi Somo. Fire clearance report was provided to the Department on 2/22/24. The three-bedroom, two-bath, two-story home was toured and inspected to ensure an environment safe for the care and supervision of children. Present in the home was one of the licensee’s minor children and two day care child. Licensee states that hours of operation is 24 hours/7 days per week.

Areas used for childcare include the following areas: the first floor with the exception of the garage and the patio which are secured with locked doors. Licensee also uses one bedroom on the second floor. Off limits – all other rooms of the second floor. Stairs to the second floor have been made inaccessible with the use of safety gate. LPA advised the licensee of doorknob covers/lever locks to make the other rooms inaccessible. The licensee has sufficient toys and equipment available.

The licensee does not use the fenced back patio for outdoor activities. Licensee states that this area is off limits. LPA observed that the outdoor areas are made inaccessible by door locks. LPA advised the licensee to inform the Department if these outdoor areas are used for child care. Licensee states she will take children to a nearby playground for outdoor activities and understands that supervision is required at all times during outdoor activities. The smoke detector and carbon monoxide detector meet requirements and are operational. The fire extinguisher was observed to be empty. Hazardous items were not secured out of reach of children with latches/locks or high placement. There is no body of water on the property. Licensee states that there are no weapons in the home. Pediatric First Aid and CPR certifications for licensee expire on 3/2025. LPA advised the licensee of all helper/aide requirements. Licensee has required immunizations. Applicant is exempt from Mandated Reporter Training as Arabic and Caldean are her primary languages.

CONTINUED ON PAGE 2
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/07/2024
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SOMO, SALLY FAMILY CHILD CARE
FACILITY NUMBER: 376100135
VISIT DATE: 05/07/2024
NARRATIVE
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LPA observed all required postings were posted. Children’s records were reviewed and found to be incomplete. Staff records were reviewed. Licensee does not maintain a current roster of the children. LPA advised that roster must be regularly updated and maintained for period of three years.

Emergency drills were conducted with the most recent being 2/9/24 and must be conducted and documented every six months. LPA verified that all adults living or working in the home have been fingerprint cleared and associated. LPA reminded Licensee that all unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203. Duty officer number is (619)767-2248.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms; corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed applicant 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.



Licensee was reminded that all adults 18 and over living or working in the home, 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.

CONTINUED ON PAGE 3

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
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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 DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SOMO, SALLY FAMILY CHILD CARE
FACILITY NUMBER: 376100135
VISIT DATE: 05/07/2024
NARRATIVE
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The Licensee rents the home and provided proof of control of property. Capacity limitations were reviewed. Licensee is to be present in the home to ensure children are supervised and is reminded that the license is NOT transferable and should she relocate, this license will be null and void.

See 809D for deficiencies cited

A license for 14 children may be issued upon completion of Plan of Correction. Licensee was reminded that annual fees are due on the date they were licensee every year.

Exit interview conducted and report was reviewed with the licensee Sally Somo. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
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Page: 2 of 8
Document Has Been Signed on 05/07/2024 01:15 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 05/07/2024 at 12:09 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: SOMO, SALLY FAMILY CHILD CARE
FACILITY NUMBER: 376100135

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/07/2024
Section Cited
CCR
102419(d)(1)

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Admission Procedures and Authorized Representatives Rights - (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A…(1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or
authorized representative has received and read the LIC 995A….
This requirement is not met as evidenced by:
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The licensee states she will submit proof of completed LIC 995A Parent's Rights to the Department via email or in-person by 5/14/24.
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Based on records review, 8 of 16 children's records reviewed were missing LIC 995A which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type B
05/07/2024
Section Cited
CCR102421(b)

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Child's Records - (b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required
in Section 102417(g)(7).
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The licensee states she will submit proof of completed children's emergency information form to the Department via email or in-person by 5/14/24.
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Based on records review, 8 of 16 children's records reviewed were missing emergency information card which poses/posed a potential health, safety or personal rights risk to persons 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 05/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/07/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/07/2024 01:15 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 05/07/2024 at 12:13 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: SOMO, SALLY FAMILY CHILD CARE
FACILITY NUMBER: 376100135

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/07/2024
Section Cited
CCR
102417(m)(3)

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Operation of A Family Child Care Home -
(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.
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The licensee states she will submit proof of completed signed affidavit by parents to the Department by 5/14/24.
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Based on records review, 12 of 16 children's records reviewed were missing signed affidavit by parents which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type B
04/30/2024
Section Cited
CCR102418(g)

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Immunizations – (g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.
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The licensee states she will submit proof of missing children's immunizations via email or in-person by 5/14/24.
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Based on record review, the licensee did not comply with the section cited above as 8 of 16 children did not have an immunization card on file. This poses a potential health, safety or personal rights risk to persons 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 05/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/07/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/07/2024 01:15 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 05/07/2024 at 12:19 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: SOMO, SALLY FAMILY CHILD CARE
FACILITY NUMBER: 376100135

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/07/2024
Section Cited
CCR
102425(c)

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102425(c) INFANT SAFE SLEEP -
(c) An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file.
This requirement is not met as evidenced by:
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The licensee states that she will submit completed Infant Sleep Plan, LIC9227 for child C16 to LPA via email or in-person by 5/14/24.
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Based on record review and licensee statement, the licensee did not comply with the section cited above in 1 out of 1 infant under 12 months, child C16 did not have a completed Infant Sleep Plan (LIC9227) on file. This poses a potential health, safety or personal rights risk to persons in care.
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Type B
05/07/2024
Section Cited
CCR102425(j)

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102425 (j) INFANT SAFE SLEEP -
(j) The provider shall supervise infants while they are sleeping and adhere to the following requirements: (2) The provider shall check and document the following: (D)Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: c. Time of each 15-minute check.
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LPA reviewed Safe Sleep Log documentation with the licensee. The licensee states that she will submit completed15-minute sleep documentation for C16 to LPA via email or in-person by 5/14/24.
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Based on record review and licensee statement, the licensee did not comply with the section cited above in 1 out of 1 infant’s files, child C16, reviewed do not contain 15 minute sleep documentation. This poses a potential health, safety or personal rights risk to persons 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 05/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/07/2024


LIC809 (FAS) - (06/04)
Page: 5 of 8
Document Has Been Signed on 05/07/2024 01:15 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 05/07/2024 at 12:23 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: SOMO, SALLY FAMILY CHILD CARE
FACILITY NUMBER: 376100135

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/07/2024
Section Cited
CCR
102417(g)(4)(A)

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Operation of A Family Child Care Home -
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.

This requirement is not met as evidenced by:
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Licensee removed all items that might endanger a child. Licensee states she will install latches to the four kitchen drawers. Photo proof of correction will be submitted to licensing via email or in-person by 5/14/24.
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Based on LPA's observations, the licensee did not comply with the section cited above in that household tools (screwdrivers) and medications were accessible in several kitchen drawers; This poses an immediate health and safety risk to children in care.
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Type B
05/07/2024
Section Cited
CCR102417(g)(1)

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Operation of A Family Child Care Home -
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) 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 Marshall.

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The licensee stated that she will obtain a fire extinguisher (Size 2A10BC) no later than 5/10/2024. She will submit a photo of the fire extinguisher and a store receipt as proof of correction via email to the LPA.
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Based on observation, the licensee did not comply with the section cited above. The fire extinguisher present in the home was on “empty” and indicated that it needed "recharging". This posed a potential health, safety or personal rights risk to persons 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 05/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/07/2024


LIC809 (FAS) - (06/04)
Page: 6 of 8
Document Has Been Signed on 05/07/2024 01:15 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 05/07/2024 at 12:27 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: SOMO, SALLY FAMILY CHILD CARE
FACILITY NUMBER: 376100135

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/07/2024
Section Cited
CCR
102417(g)(8)

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Operation of A Family Child Care Home -
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
This requirement is not met as evidenced by:
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The licensee states that she will submit a completed children's roster, LIC9040, to LPA via email by 5/14/24.
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Based on record review and licensee statement, the licensee did not comply with the section cited above. The licensee does not maintain a children's roster. This poses a potential health, safety or personal rights risk to persons 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 05/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/07/2024


LIC809 (FAS) - (06/04)
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