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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101330
Report Date: 11/21/2023
Date Signed: 11/21/2023 02:47:58 PM

Document Has Been Signed on 11/21/2023 02:47 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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ZAKARYA, FATIMAH FAMILY CHILD CAREFACILITY NUMBER:
376101330
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
11/21/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Zakariya, FatimahTIME COMPLETED:
03:10 PM
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On November 21, 2023 at 1:06 PM., Licensing Program Analyst (LPA), Sherlynn Banas met with Licensee, Fatimah Zakarya and Sarah Alomar (daughter) for the purpose of increase in capacity from eight (8) to fourteen (14) children. There were no children in the care at this time. .

LPA toured the home. The licensee owns the home. There are 4 bedrooms and 3 bathroom in the house. All required forms were posted. There is a working telephone on the premises. There are no bodies of water, however there is a fountain which doesn't have water. LPA, Jennifer Lott advised licensee to put flowers in the fountain. There were no weapons/firearms or ammunition in the home or on the property. The fire extinguisher size (5MB-6HA) meets requirements and is fully charged, located in the kitchen. The dual smoke detector and carbon monoxide detector is mounted on the hallway ceiling and is operational. Applicant’s Pediatric CPR/FA certification is valid through June 2025. The Fire Safety Inspection Request (STD 850) was approved by the local fire marshal and GRANTED the capacity increase to fourteen (14) children on November 17, 2023. The fireplace was secured and inaccessible to children.

Applicant will be using the following areas for childcare: Living room, dining room, kitchen, family room, guest room, and backyard. Off limits areas of the home were all the second floor rooms, laundry room downstairs, and the garage.
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Outdoor play area is fenced and equipped with age-appropriate play equipment and toys, in good condition. Applicant was reminded of requirements for children’s records, child abuse reporting, unusual incident reporting, immunization, criminal background clearance procedures and policies, and posting requirements.

LPA reviewed the Fire Drill; the last fire drill was August 3, 2023.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ZAKARYA, FATIMAH FAMILY CHILD CARE
FACILITY NUMBER: 376101330
VISIT DATE: 11/21/2023
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Smoking during in or around day care areas is prohibited.

Licensee was reminded of the staffing/capacity ratios for Large Family Child Care Homes. Twelve (12) children, no more than 4 infants (birth to 24 months) and 8 older children over the age of 2. A qualified assistant (age 14 or older) is required. For fourteen (14) children, no more than 3 infants (birth to 24 months) and 11 older children; at least 2 school age, 1 child at least age 6, 1 child enrolled in and attending kindergarten or elementary school. When there isn't a qualified assistant, licensee must follow Small Family Home Child Care Regulations.

LPA discussed with Licensee the safe sleep regulations and the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [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. Licensee is reminded that infants may not be swaddled while in care and walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use.

In case of a child getting sick, an isolation area will be in the guest room by the kitchen area downstairs.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2023
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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ZAKARYA, FATIMAH FAMILY CHILD CARE
FACILITY NUMBER: 376101330
VISIT DATE: 11/21/2023
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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, an updated Plan of Operation that includes 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.

Licensee is advised to signed up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov.

A license for a capacity of fourteen (14) will be issued after final file review. An exit interview was conducted, the report was reviewed with Licensee, Zakarya, Fatimah. An Appeal Rights was also provided. A Notice of Site Visit was given and most remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2023
LIC809 (FAS) - (06/04)
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