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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100942
Report Date: 12/17/2021
Date Signed: 12/17/2021 04:30:01 PM

Document Has Been Signed on 12/17/2021 04:30 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:DAWOOD, RIHAB FAMILY CHILD CAREFACILITY NUMBER:
376100942
ADMINISTRATOR:RIHAB DAWOODFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 486-7902
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/17/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:52 AM
MET WITH:Rihab DawoodTIME COMPLETED:
02:35 PM
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On 12/17/21 at 11:57am, Licensing Program Analyst (LPA) Patrick Ma conducted an announced Pre-Licensing inspection with the applicant Rihab Dawood. Also present in the home were Licensee’s husband, Kaiser Al Sultani, adult son, Abdullah Lateef, and mother-in-law, Fakhriya Jarboae, all fingerprint cleared. Son helped translate during the inspection. The 5 bedroom, 3 bathroom, one story home was toured and inspected to ensure an environment safe for the care and supervision of children.

Applicant originally applied for a large license but did not qualify at the time and will pursue at a different time. Applicant completed and submitted LIC279 for a small license at the inspection.

Applicant will be using the living room, dining room, kitchen, playroom, bathroom by playroom, and backyard. Off limit areas are bedroom 2-5 by the hallway, bathrooms 2-3 by the hallway, and are inaccessible by use of door knob covers. The laundry room is off-limit and needs to be made inaccessible prior to being licensed.

The applicant has sufficient toys and equipment available. Applicant will use back yard for outdoor activities. Back yard is fully fenced, and licensee was advised to provide visual supervision at all times when children are outdoors.

The fire extinguisher and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property. Applicant states that there are no weapons in the home. Applicant states that they have sufficient financial resources to sustain the license.
(con't 812-C)
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2021
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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: DAWOOD, RIHAB FAMILY CHILD CARE
FACILITY NUMBER: 376100942
VISIT DATE: 12/17/2021
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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 exemptions. Applicant owns the home and has provided proof of control of property and the Landlord Notification. Applicant understands that, at this time, she may care for more than 6 and up to 8 children. First Aid and CPR expire on 12/2023 and preventative health practices course was completed on 2/2/2020. Applicant is exempt from mandated reporter requirement due to English not being their primary language. Staff immunization requirements per SB792 were met. Licensee was reminded that annual fees are due on the date they were licensee every year.

The new provider packet was reviewed with the applicant including information on ratios and capacity, child abuse reporting, children’s records, immunizations, adults living or working in the home, car seat law, shaken baby syndrome, SIDS, safe sleep practices, effects of lead poisoning, COVID safety guidance, and the YMCA Resource Center. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, jumpers, and bouncy seats are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided applicant with the following information:
• Child Care Advocates - email address childcareadvocatesprogram@dss.ca.gov.
• For common questions or questions regarding licensing requirements to contact the Child Care Licensing duty line at 619-767-2248.
• To report COVID-19 cases contact the Health & Human Services Agency Epidemiology Department at 619-692-8636.

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
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: DAWOOD, RIHAB FAMILY CHILD CARE
FACILITY NUMBER: 376100942
VISIT DATE: 12/17/2021
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The following corrections are needed.
• carbon monoxide detector
• laundry room needs to be made inaccessible

Applicant understands that corrections must be submitted to the Department within 30 days or the application may be denied.

An exit interview was conducted with applicant. Appeal Rights (LIC9058) was given along with the report (LIC809) to the Licensee.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
LIC809 (FAS) - (06/04)
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