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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100598
Report Date: 01/25/2024
Date Signed: 01/25/2024 02:25:00 PM

Document Has Been Signed on 01/25/2024 02:25 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:ISSE, AMINA FAMILY CHILD CAREFACILITY NUMBER:
376100598
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 0DATE:
01/25/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Licensee, Amina IsseTIME COMPLETED:
02:45 PM
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LPA Saraliz Velando, conducted an unannounced annual inspection with capacity increase. This visit is to verify that the licensee remains in substantial compliance with the health & safety standards as required by regulations governing large family childcare homes. LPA met with licensee, Amina Isse. LPA observed zero children in care today.

Licensee has all appropriate forms posted. LPA confirmed with licensee that all adults residing/working in the home have criminal record/TB clearances. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was received on 1/11/24. Licensee has a Mandated Reporter Training AB1207 that will expire in January 2026 and CPR/First aid card that expires December 2025.

Licensee will be using the following rooms for childcare: Living room 1 and 2, Play room, kitchen, dining room, Bathroom 1, and Backyard. The following areas will be off limits: Bedrooms 1-3, Bathroom 2, Front yard, and garage. The garage is inaccessible by a doorknob cover and latch lock. The applicant has sufficient toys and equipment available. There is an operational smoke alarm and carbon monoxide detector combo in the Front entrance area that meets regulations. The fire extinguisher is located in the kitchen area and also meets regulations. There are no weapons present on the premises as stated by licensee. There are no bodies of water on the premises and LPA did not observe any. Per licensee, operating hours are 24 hours a day and 7 days a week.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2024
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ISSE, AMINA FAMILY CHILD CARE
FACILITY NUMBER: 376100598
VISIT DATE: 01/25/2024
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LPA reviewed the following: required departmental documents, regulation highlights, community resources, capacity limitations, supervision, clearances, emergency drills, heat-related illness, child passenger law, unusual incidents, mandated reporting, Assembly Bill 633, SIDS, Safe sleep regulations, Shaken Baby Syndrome, Megan's law and Covid information. Applicant is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation. Any equipment used should only be used according to the manufacturer recommendations. For licensing regulations/updates/forms, go to webpage http://www.ccld.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, 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.


An exit interview was conducted with licensee, Amina Isse.

No deficiencies were cited.

A large license will be granted upon final file review. A notice of site visit was issued and shall remain posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
LIC809 (FAS) - (06/04)
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