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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101637
Report Date: 06/06/2024
Date Signed: 06/06/2024 02:16:15 PM

Document Has Been Signed on 06/06/2024 02:16 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:POLUS, SAHAR FAMILY CHILD CAREFACILITY NUMBER:
376101637
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
06/06/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Sahar PolusTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 6/6/2024 @ 1:30PM, Licensing Program Analyst (LPA) Nancy Diaz conducted an announced follow-up prelicensing inspection with applicant, Sahar Polus. The purpose of this inspection is to observe corrections as requested during the initial prelicensing inspection on 4/3/2024. Also present today was Sally Faraj (Applicant's niece) who helped translate in Chaldean.

The following corrections were observed today:
1. Updated LIC 999 (Facility sketch) was provided to LPA today.
2. Barricades were installed to make living room inaccessible from the family room and kitchen.
3. Mrs. Polus obtained and installed a carbon monoxide detector.
4. Screw lock was installed to sliding door to make patio area inaccessible to children.
5. Livescan fingerprint clearance was obtained for resident Hanan Habeeb who moved in to the guest house in May 10, 2024. Residents Josie Ana Edenshaw and Methqal Aideen Afghzaw moved out in April 20, 2024. Mrs. Polus was reminded that future residents of guest home must be fingerprint cleared prior to moving on.
6. Trampoline is now inaccessible via latched netting. Ladder was also removed.
7. The water fountain was removed from the backyard and made inaccessible to children.
8. Mrs. Polus installed a 5 ft. fence to make the white tiered water fountain inaccessible to children. This fountain was observed empty. Mrs. Polus stated that she does not fill this fountain with water.
9. Construction materials were removed from the front and back yard.
10. Bar-b-que grill was observed covered.
11. Mrs. Polus removed overgrown weeds from the backyard.
12. Mrs. Polus removed the bar-b-que skewers and propane tank from backyard.
13. Mrs. Polus covered the deer antlers with soft foam.
14. Mrs. Polus removed the propane tank and red bar-b-que grill from the front of guest house.
15. Door knob covers were installed make storage shed inaccessible to children.
16. Required forms were observed posted.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2024
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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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: POLUS, SAHAR FAMILY CHILD CARE
FACILITY NUMBER: 376101637
VISIT DATE: 06/06/2024
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All corrections were observed today. License is granted for a small family child care home effective today, June 6, 2024.

The maximum capacity for a small family child care home: 4 infants only (infants mean any children under 24 months); or 6 children with no more than 3 infants; or (with landlord consent) 8 children with no more than 2 infants, 1 child in kindergarten or elementary school and 1 child at least age 6 including children under age 10 who live in the licensee's home.
Capacity shall include children under age 10 who reside at the licensee’s home.

Exit interview was conducted with Mrs. Polus. A copy of this report was provided today.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2024
LIC809 (FAS) - (06/04)
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