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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101271
Report Date: 07/17/2025
Date Signed: 07/17/2025 01:08:51 PM

Document Has Been Signed on 07/17/2025 01:08 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:HASHIMI, KHATERA FAMILY CHILD CAREFACILITY NUMBER:
376101271
ADMINISTRATOR/
DIRECTOR:		KHATERA HASHIMIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 718-0874
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 14TOTAL ENROLLED CHILDREN: 27CENSUS: DATE:
07/17/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Khatera HashimiTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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On July 17, 2025 at 9:45am, Licensing Program Analyst (LPA) Hector Canton arrived unannounced at the licensed Family Child Care Home operated by Khatera Hashimi to conduct the required annual inspection, also present was Sayed Hashimi, licensee’s spouse, and their minor children. LPA identified themselves, stated the purpose of the visit, and was granted entry. Present during today’s inspection were no day care children and two of the licensee’s own children under ten years of age.

The two-story, four-bedroom three-bathroom single family home was toured in its entirety to evaluate compliance with Title 22 regulations and to ensure the health and safety of children in care. The child care areas include bedroom 1, bathroom 1, living room, kitchen, dining room, and dining area. Areas made off-limits include the second floor (which includes a bedroom converted to a family living space and bathroom 3), bedroom 2, bedroom 3, bathroom 2, and garage were made inaccessible through the use of door locks and baby gates. Adequate heating, lighting, and ventilation were observed throughout the licensed areas of the home. The licensee maintained the home in a clean and orderly condition. A working telephone was available for use in case of emergency.

LPA observed a pool in the yard. LPA verified that the fencing surrounding the pool met standards set by AB 2866, including: minimum height of 60 inches, maximum floor clearance of two inches, no gaps greater than 4 inches, nothing that can serve as hand or footholds, and the gate opening swings outwards (self-latching with key lockable device at the appropriate height). LPA did observe that the pool was missing the following safety requirements: a safety hook with a fixed length of 12 feet, a safety ring with a minimum diameter of 17 inches, and either an ASTM approved pool cover or alarm. LPA advised of the new requirements and provided the Licensee with AB 2866 for review. Licensee will prevent any access to the yard where the pool is located and submit evidence to the department of the purchase, delivery, and installation of the safety equipment.

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Hector Canton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 07/17/2025 01:08 PM - It Cannot Be Edited


Created By: Hector Canton On 07/17/2025 at 12:28 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: HASHIMI, KHATERA FAMILY CHILD CARE
FACILITY NUMBER: 376101271

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.814(a)
Pool Safety
(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview the licensee did not comply with the section cited due to the lack of safety equipment and required log which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/25/2025
Plan of Correction
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Licensee states they will order the required safety equipment, begin logging safety checks, and send documentation to the department of the procurement and installation of necessary devices.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Renesha Askew
NAME OF LICENSING PROGRAM MANAGER:
Hector Canton
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2025


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: HASHIMI, KHATERA FAMILY CHILD CARE
FACILITY NUMBER: 376101271
VISIT DATE: 07/17/2025
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Age-appropriate toys, furnishings, and play equipment were observed to be in good condition and free of observable hazards. The licensee confirmed that no firearms or other weapons are kept in the home. Detergents, cleaning compounds, medications, and other potentially hazardous items were stored inaccessible to children. LPA observed the fire extinguisher to be fully operational and within service date. Smoke detectors and carbon monoxide detectors were tested and found to be operable at the time of inspection. Emergency exit routes were clear of obstructions.

Outdoor space used for child care was inspected and found to be fenced and free of hazards, however, Licensee will suspend use of backyard until the pool meets new safety standards. The licensee understands that supervision is required at all times when children are outdoors. A designated isolation area is available should a child become ill during the day. There were no jumpers or other prohibited equipment observed. All equipment used in care was used only as intended by the manufacturer.

Children’s records were reviewed. LPA verified that emergency contact information, immunization records, and required notices were available and complete. A current facility roster was maintained and provided upon request. The licensee maintains documentation of emergency disaster drills, and the most recent drill was conducted on Jul 8, 2025. All required postings, including the facility license and parents’ rights notification, were observed in a location accessible to parents and guardians.

LPA reviewed staff and adult resident records. All adults living or working in the home have been fingerprint-cleared and associated to the facility. 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.

The licensee’s Pediatric CPR and First Aid certification was valid through October 31 2026 and meets the Emergency Medical Services Authority (EMSA) standards. The licensee is exempt from the required Mandated Reporter Training due to Farsi being their primary language and at the time of inspection the training is only offered in English and Spanish. LPA verified that the licensee and any assistants have met immunization requirements.

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Hector Canton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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: HASHIMI, KHATERA FAMILY CHILD CARE
FACILITY NUMBER: 376101271
VISIT DATE: 07/17/2025
NARRATIVE
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LPA review of safe sleep practices. Each infant had their own designated crib or play yard that was free of loose articles, pillows, or soft bedding. Bumper pads were not in use, and there were no objects hanging from or attached to any of the sleep spaces. The licensee confirmed that infants were placed on their backs to sleep and not swaddled. The licensee confirmed that infants are actively supervised while sleeping and that a 15-minute sleep log is maintained and available for review. Individual Infant Sleeping Plans (LIC 9227) were on file for each infant under 12 months of age. LPA reviewed this documentation and found it to be complete. Car seats were not used for sleeping purposes and were only used for transportation.

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-and-resources/safe-sleep as an additional resource. LPA also informed licensee 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.

The facility does not currently provide Incidental Medical Services (IMS). LPA discussed the IMS policy and explained that when IMS is provided, a Plan for Providing IMS must be submitted to the Department. The licensee was provided with guidance available in Provider Information Notice PIN 22-02-CCP. Additional ADA resources were discussed, including the U.S. Department of Justice ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY), and the publication “Commonly Asked Questions About Child Care Centers and the ADA,” which is available online at https://www.ada.gov/resources/child-care-centers/.

Licensee 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. LPA also provided the licensee with the Child Care Advocates Program contact email at childcareadvocatesprogram@dss.ca.gov, and advised the licensee that questions regarding licensing requirements may be directed to the Child Care Duty Line at (619) 767-2248.

A Type B violation was cited during today’s inspection. While not posing immediate danger, the violation presents a potential risk to children in care. The deficiency is documented on the LIC 809D, and the licensee was advised to correct it by the due date to avoid re-citation or further enforcement.

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Hector Canton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
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: HASHIMI, KHATERA FAMILY CHILD CARE
FACILITY NUMBER: 376101271
VISIT DATE: 07/17/2025
NARRATIVE
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An exit interview was conducted with the licensee, and this report was reviewed in its entirety. A copy of the report was provided. Appeal rights were also reviewed and issued. A Notice of Site Visit was issued and must remain posted for 30 consecutive days. The licensee, Khatera Hashimi, confirmed that there are no registered sex offenders residing at the facility address, and LPA completed the Registered Sex Offender (RSO) profile in FAS.

If there are any questions about this inspection, the licensee may send inquiries to inspectionprocess@dss.ca.gov. Additional information about the inspection process and available tools can be found at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

NAME OF LICENSING PROGRAM MANAGER: Renesha Askew
NAME OF LICENSING PROGRAM ANALYST: Hector Canton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC809 (FAS) - (06/04)
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