376100807-11-18-2024-51-CC-SVEO-DB5QUU-20241118112919

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376100807
Report Date: 11/18/2024
Date Signed: 11/18/2024 11:29:28 AM

Document Has Been Signed on 11/18/2024 11:29 AM - 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:	AL SALMAN, ZAINAB FAMILY CHILD CARE		FACILITY NUMBER:	376100807
ADMINISTRATOR/ DIRECTOR:	ZAINAB AL SALMAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 416-9616
CITY:	LAKESIDE	STATE: CA	ZIP CODE:	92040
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	11/18/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:15 AM
MET WITH:	Licensee, Zainab Al Salman		TIME VISIT/ INSPECTION COMPLETED:	11:45 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 11/18/2024, Licensing Program Analysts (LPAs), Saraliz Velando and Hanna Lucas conducted an unannounced Annual Licensing Inspection. LPA was greeted by licensee, Zainab Al Salman and her adult children, Hafssa Al Azzawi and Abdulhamee Al Azzawi. LPA was granted entry after identifying herself and disclosing the purpose of the visit. There were no children in care today. LPA conducted a tour of the home inside and outside per facility sketch Licensee is using the following areas for daycare: Living Room #1, Living Room #2, Dining Room, Kitchen #1, Bathroom #1, and Outdoor play area. Off-limits areas include: entire 3rd floor, Kitchen #2, and Backyard. 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. Stairs are blocked with a baby safety gates. There is a working telephone/email address. All cleaning compounds, detergents, medications, and poisons are made inaccessible through latches, locks, and/or placed up on high surfaces and off limit areas. The fireplaces are screened for safety. The fire extinguisher meets regulations and is located in the dining area. Licensee states there are NO firearms in the home and LPA did not observe any. The outdoor play area is fenced and free of hazardous items. The licensee stated that there are no bodies of water and LPA also did not observe any. There are no new adults living or working in the home over the age of 18 years. All adult residents and helpers have been fingerprint cleared. Pediatric CPR and First-Aid certificate expires March 2025 for Licensee and she also has a current Mandated Reporter Training certificate that expires March 2025.

Joelle Redding	TELEPHONE: (619) 767-2249
Saraliz Velando	TELEPHONE: (619) 207-9809
	DATE: 11/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024

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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Document Has Been Signed on 11/18/2024 11:29 AM - It Cannot Be Edited

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: AL SALMAN, ZAINAB FAMILY CHILD CARE	FACILITY NUMBER: 376100807
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

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: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in that 4 windows on the 1st floor that is on a hill does not have safety locks which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/19/2024
	Plan of Correction
1 2 3 4	Licensee states she will place safety window locks and submit proof to the Dept by 11/19/24.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Joelle Redding	TELEPHONE: (619) 767-2249
Saraliz Velando	TELEPHONE: (619) 207-9809
	DATE: 11/18/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/18/2024 11:29 AM - It Cannot Be Edited

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: AL SALMAN, ZAINAB FAMILY CHILD CARE	FACILITY NUMBER: 376100807
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

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: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in her fire drill log shows the latst fire drill was conducted on 5/6/21, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/02/2024
	Plan of Correction
1 2 3 4	Licensee states that she will conduct a fire drill and submit proof to the Dept by 12/2/24.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Joelle Redding	TELEPHONE: (619) 767-2249
Saraliz Velando	TELEPHONE: (619) 207-9809
	DATE: 11/18/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024

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: AL SALMAN, ZAINAB FAMILY CHILD CARE	FACILITY NUMBER: 376100807
	VISIT DATE: 11/18/2024

NARRATIVE

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share Licensee or facility representative was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain 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.

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

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.htmyour inspection experience. If you have any questions regarding the process or tools, please send them by email 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.

Type B deficiencies were cited on page LIC809-D.

Exit interview was conducted and report was reviewed with licensee, Zainab Al Salman. Copy of report and Appeal Rights was given. A notice of site visit was posted and must remain for 30 days.

SUPERVISOR'S NAME: Joelle Redding	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Saraliz Velando	TELEPHONE: (619) 207-9809
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024

LIC809 (FAS) - (06/04)

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