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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100800
Report Date: 11/15/2023
Date Signed: 11/15/2023 01:47:38 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 11/15/2023 01:47 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:KHAMMI, GHADA FAMILY CHILD CAREFACILITY NUMBER:
376100800
ADMINISTRATOR:GHADA KHAMMIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 808-6562
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 14TOTAL ENROLLED CHILDREN: 16CENSUS: 3DATE:
11/15/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Ghada KhammiTIME COMPLETED:
02:00 PM
NARRATIVE
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On 11/15/23 at 9:35 am Licensing Program Analyst (LPA) Gerald Poindexter conducted an unannounced three-year inspection visit. Upon arrival, LPA met with licensee Ghada Khammi. Also, in the home was Alaa Maroki, the licensee’s husband, who provided translation from Arabic. Present in the home were three day care children, two of whom were under 24 months. The licensee was provided with the Inspection Checklist (LIC 126). The two-story home (4 bedrooms, 3 bathrooms) was toured and inspected to ensure an environment safe for the care and supervision of children. Applicant owns the home. Proof of control of property on file. Licensee identifies current hours of operation as 24 hours, 7 days per week.

The licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include: Living room, Family room, Dining room, Bathroom #1, Kitchen, and backyard.
Off limit areas include: Upstairs, Garage, front yard and pool. There are stairs in the home. Stairs are barricaded when children under age 5 years old are present. The facility has sufficient toys and equipment available.

The home has a fully fenced backyard play area available for outdoor activities, that is free of hazards. The licensee understands that visual supervision is always required during outdoor activities. There is a pool in the backyard that meets pool regulations with at least a 5-foot fence with properly spaced openings for visual access. The pool gate surrounds three sides of the pool area extending from the home, while the fourth side has a metal gate that prevents access to the hillside. The self-latching pool door latches at the top and swings away from the pool and prevents direct access to the pool from the home’s windows and doors.

There is a fully charged fire extinguisher, smoke and carbon monoxide detector that meet requirements and are operational. There is a fireplace is screened and inaccessible to children. Poisons, cleaning compounds, medications and other hazardous items are inaccessible to children via cabinet/drawer latches. Central heating and ventilation are provided and adequate. There is a working telephone/email address. Licensee stated there are NO firearms and weapons in the home. CONTINUED ON PAGE 2

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2023
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: KHAMMI, GHADA FAMILY CHILD CARE
FACILITY NUMBER: 376100800
VISIT DATE: 11/15/2023
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LPA observed all required postings were posted. Children’s records were reviewed and found to be in order. Staff records were reviewed. Licensee has the required immunizations per SB792. Licensee’s Pediatric CPR/First Aid are current with an expiration date of March 2024. Preventative health practices course was completed on 10/3/21, which includes lead poison prevention training. Licensee is exempt from Mandated Reporter AB1207 training certification due to having limited English proficiency, Licensee’s primary language is Arabic.

Emergency drills are conducted and documented with the last one being on 7/15/23. Licensee maintains a current roster of the children, which LPA obtained during time of inspection and found the roster to be incomplete. 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.



The licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA conducted child care quality management staff interview with the licensee. LPA discussed the safe sleep regulations with licensee 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 licensee Ghada Khammi 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.


CONTINUED ON PAGE 3
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023
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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: KHAMMI, GHADA FAMILY CHILD CARE
FACILITY NUMBER: 376100800
VISIT DATE: 11/15/2023
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

The licensee Ghada Khammi was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

See LIC809D for deficiencies cited.



Exit interview conducted and report was reviewed with the licensee Ghada Khammi. During the exit interview, the licensee Ghada Khammi, 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: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/15/2023 01:47 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 11/15/2023 at 12:37 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: KHAMMI, GHADA FAMILY CHILD CARE
FACILITY NUMBER: 376100800

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2023
Section Cited
CCR
102425(j)(2)(D)

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The provider shall supervise infants while they are sleeping and adhere to the following requirements: Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: a. Date. b. Infant’s name. c. Time of each 15-minute check.
This requirement is not met as evidenced by:
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Licensee states she will obtain or create the required safe sleep logs for all infants and keep updated as required and keep for at least 30 days. She will email copies of maintained sleep logs to LPA Poindexter by 11/27/23.
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Based on record review, the licensee did not comply with the section cited above, as she did not possess and maintain the safe sleep logs for 3 of 3 infants in care, which poses a potential health, safety or personal rights risk to persons in care.
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Type B
11/15/2023
Section Cited
CCR102421a-d(1)

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(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d)...(b) a copy of the emergency information card as required in Section 102417(g)(7)...(d) proof of parent notification that the facility is caring for an additional child...
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Licensee states she will obtain completed and signed documents for children S1, S2, and S3 as required. She will email, mail or deliver copies to LPA Poindexter by 11/27/23.
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(d)(1)...a completed and signed LIC 9150.
This requirement is not met as evidenced by:

Based on record review, the licensee did not comply with the section cited above, as she did not possess childrens records for 3 of 3 children in care, which 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: 11/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/15/2023 01:47 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 11/15/2023 at 01:03 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: KHAMMI, GHADA FAMILY CHILD CARE
FACILITY NUMBER: 376100800

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2023
Section Cited
CCR
102417(g)(8)

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(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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Licensee states she complete roster information for children S1, S2, and S3 as required. She will email copies to LPA Poindexter by 11/27/23.
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Based on record review, the licensee did not comply with the section cited above, as the current roster of children was incomplete, missing information for 3 of 16, which 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: 11/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2023


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