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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100446
Report Date: 08/02/2021
Date Signed: 08/02/2021 03:40:58 PM

Document Has Been Signed on 08/02/2021 03:40 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:TOOMALA, NAHLA FAMILY CHILD CAREFACILITY NUMBER:
376100446
ADMINISTRATOR:NAHLA TOOMALAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 874-4888
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 7DATE:
08/02/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:24 PM
MET WITH:Licensee, Nahla Toomala TIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA), Jennifer Lott conducted an unannounced Annual Licensing Inspection. LPA was greeted at the front door by Stivan Shebli and granted entry after identifying herself and disclosing the purpose of her visit. Licensee was contacted by telephone and arrived a short time later. The licensee is using the following areas for daycare: Dining room, kitchen, bedroom #3, bathroom #2, playroom and backyard. Off limit areas include: Garage, upstairs, bedrooms #1,2, downstairs and bathroom #1 and front yard while under construction. Business Hours are: Sunday through Saturday 6am to 12 midnight. The facility currently has 7 children in care of which 1 were infants. Licensee was not able to provided a copy of their current roster and currently is operating within the licensed ratio and capacity.

At 11:55am LPA tested the carbon monoxide detector and smoke detectors located in the kitchen area. Both devices were functional. Fire extinguisher was also functional.

LPA did not observe any bodies of water on the premises. At 12:40pm LPA observed a firearm in the home. Although the firearm was locked and stored properly in a locked box with a trigger lock, the ammunition was not stored separately from the weapon.

Fireplaces was screened to prevent access by children. Where children less than 5 years old are in care, stairs are fenced and/or barricaded. Storage for some dangerous items were accessible to children both inside and outside the home. The last disaster/fire drill was conducted on 02/2021. LPA observed mouse traps on the kitchen counters where food is prepared. There is heating and ventilation for safety and comfort. The home provides safe toys, play equipment and materials in the playroom.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2021
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: TOOMALA, NAHLA FAMILY CHILD CARE
FACILITY NUMBER: 376100446
VISIT DATE: 08/02/2021
NARRATIVE
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15:23 children’s records were incomplete and/or missing. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemption. Pediatric CPR and First Aid card is expired as of July 31, 2021. The mandated Child Abuse Reporting as per AB1207 was waived as licensee's primary language is Arabic. Staff immunizations were reviewed and are in compliance. There is a working telephone and email address.

Licensee was also provided handouts with information regarding Safe Sleep Regulations/SIDS, Lead Exposure, and Shaken Baby Syndrome. LPA and Licensee discussed California Megan’s Law and LPA provided the website of: www.meganslaw.ca.gov .

LPA discussed and provided Licensee with the following: Child Care Advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements, contact the Child Care Licensing Duty Line at (619) 767-2248.

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.

Based on today’s visit, deficiencies were observed and noted on the attached LIC 809D. An exit interview was conducted with licensee Toomala. A copy of this report, Appeal and Licensee Rights (LIC 9058) as well as Notice of Site Visit Form (LIC 9213) have been provided. Signature below confirms receipt of these documents. Licensee acknowledges that the LIC 9213 is required to be posted for 30 days. LPA observed the Licensee post the LIC 9213 notice of site visit.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 08/02/2021 03:40 PM - It Cannot Be Edited


Created By: Jennifer Lott On 08/02/2021 at 12:52 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: TOOMALA, NAHLA FAMILY CHILD CARE

FACILITY NUMBER: 376100446

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/02/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2021
Section Cited
CCR
102417(g)(4)(C)

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Operation of a Family Child Care Home -...Ammunition shall be stored and locked separately from firearms. This requirement is not met as evidenced by:
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Licensee advises they will store and lock ammunition separately from the weapon. Proof will be submitted to LPA by POC date via fax or email.
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Based on LPA's observations, ammunition was not locked and stored separately from the weapon. This poses a potential safety risk to children in care.
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Type B
08/16/2021
Section Cited
CCR102417(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 if readily available to children shall be stored where they are inaccessible to children.This requirement is not met as evidenced by:
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Licensee advises they will set traps in non food prep areas, will remove hazardous items from backyard play area, install a lock on the cupboard full of tools/toxins. Proof will be submitted to LPA by POC date via fax or email.
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Based on LPA's observations, meal prep areas had mouse traps on the counters with food,hall cupboard was full of toxins and tools and accessible to children, backyard had root killer not stored/locked. This poses a potential hazard 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:Jennifer Lott
LICENSING EVALUATOR SIGNATURE:
DATE: 08/02/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/02/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/02/2021 03:40 PM - It Cannot Be Edited


Created By: Jennifer Lott On 08/02/2021 at 01:24 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: TOOMALA, NAHLA FAMILY CHILD CARE

FACILITY NUMBER: 376100446

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/02/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2021
Section Cited
CCR
102421(a)

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Child's Records - The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d). This requirement is not met as evidenced by:
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Licensee will provide complete records for the 15:23 children in care by POC date via fax or email.
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Based on LPA's observations and record review, 15:23 children's records were missing. This poses a potential health & safety risk to children in care.
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Type B
08/23/2021
Section Cited
CCR102417(g)(8)

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Operation of a Family Child Care Home - ...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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Licensee states they will submit a roster of all current children by POC date via fax or email.
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Based on LPA's observations, record review and interview, licensee was unable to produce a roster for all children in care. This poses a potential 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:Jennifer Lott
LICENSING EVALUATOR SIGNATURE:
DATE: 08/02/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/02/2021


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 08/02/2021 03:40 PM - It Cannot Be Edited


Created By: Jennifer Lott On 08/02/2021 at 02:44 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: TOOMALA, NAHLA FAMILY CHILD CARE

FACILITY NUMBER: 376100446

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/02/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2021
Section Cited
CCR
102425(b)

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Infant Safe Sleep - Cribs or play yards shall be free from all loose articles and objects. This requirement is not met as evidenced by:
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Licensee will remove all loose articles and objects from cribs. Proof will be submitted via fax or email by POC date.
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Based on LPA's observations, cribs had blankets and stuffed animals and were not free from all loose articles and objects. This poses a potential health & safety risk to children in care.
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Type B
08/23/2021
Section Cited
CCR102416(c)

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Personnel Requirements - The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid... This requirement is not met as evidenced by:
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Licensee will renew their pediatric first and CPR training as required and submit proof via fax or email by POC date.
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Based on LPA's observations and record review, Licensee's first aid/CPR expired 07/31/2021. This poses a potential heath & 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:Jennifer Lott
LICENSING EVALUATOR SIGNATURE:
DATE: 08/02/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/02/2021


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