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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101521
Report Date: 05/01/2024
Date Signed: 05/01/2024 01:27:51 PM

Document Has Been Signed on 05/01/2024 01:27 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:BARBOD, ANAHITA FAMILY CHILD CAREFACILITY NUMBER:
376101521
ADMINISTRATOR/
DIRECTOR:		ANAHITA BARBODFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 333-2732
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
05/01/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:43 PM
MET WITH:Anahita BarbodTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On 5/1/2024 @ 12:43PM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced case management inspection in reference to licensee's request to clear the back bedroom for infants to nap. There were 10 children observed present today being supervised by the licensee Anahita Barbod and John Bush, helper.

Some of the children were observed getting ready for nap. LPA observed two 3-year old children in the play pen with bed sheets draped above them.

Type B deficiency was cited. Type B deficiency if not corrected poses a potential risk to the health, safety or personal rights of children in care.

Exit interview was conducted with Ms. Barbod. LPA reviewed the report with the licensee and provided a copy. Notice of site visit was given and must be posted for 30 days. Appeal rights were also provided.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
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 05/01/2024 01:27 PM - It Cannot Be Edited


Created By: Nancy Diaz On 05/01/2024 at 01:10 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: BARBOD, ANAHITA FAMILY CHILD CARE
FACILITY NUMBER: 376101521

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/01/2024
Section Cited
CCR
102423(a)(2)

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PERSONAL RIGHTS
Each child receiving services from a family child care home shall have certain rights that shall not be waived ...(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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CORRECTED TODAY.
The bed sheets were removed immediately. Ms. Barbod explained that she just placed the bed sheets over the play pen to keep children from being distracted by the other children who were awake.
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This requirement was not met as evidenced by:
Based on LPA's observation, two 3-year olds were observed inside the play pen with bed sheets draped above them. Having a bed sheet draped over the play pen obstructs children's ventilation.
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Ms. Barbod stated that moving forward, preschool children will start napping on sleeping bag or blankets.

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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:Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2024


LIC809 (FAS) - (06/04)
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