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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101667
Report Date: 11/30/2023
Date Signed: 11/30/2023 05:49:18 PM

Document Has Been Signed on 11/30/2023 05:49 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:SAFI, BIBIELHAMIA & WAHIDULLAH FAMILY CHILD CAREFACILITY NUMBER:
376101667
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 2CENSUS: 2DATE:
11/30/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Licensees, Bibielhamia & WahidullahTIME COMPLETED:
05:45 PM
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Licensing Program Analyst (LPA), Saraliz Velando conducted a prelicensing inspection for a change of location with capacity increase. LPA met with Licensees, Bibielhamia Safi and her husband, Wahidullah Safi. There were 3 children of their own also present.

LPA toured the home. It is a two level, 5 bedroom, and 3 bathroom home. Licensee will be using the following areas for day care: Living room 1, Bedroom 1, and Bathroom 1. Off-limits areas consist of: Bedroom 2 - 5, Bathrooms 2 and 3, Living room #2, Backyard, and Garage. There is a fireplace in Living Room #1 that has been screened to be inaccessible to children. Licensee stated there are no bodies of water on the premises and LPA did not observe any. Licensee states that there are no weapons or ammunition in the home and LPA did not observe any either. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was received on 10/25/23. The fire extinguisher size (2A10BC) meets requirements and is fully charged and is located by the front entrance area. The smoke detector is located in Living room #1 and meets department requirements. However, the home does not have a carbon monoxide detector at this time.

Licensee’s Pediatric CPR/First Aid is valid through April 2025. Mandated Reporter Training expires June 2025. All adults living or working in the home have been fingerprint cleared and associated and immunization requirements have been met. Outdoor play area will take place at a nearby park with constant supervision.

LPA reviewed with licensees the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.
LPA discussed the safe sleep regulations with [applicant, licensee, or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2023
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: SAFI, BIBIELHAMIA & WAHIDULLAH FAMILY CHILD CARE
FACILITY NUMBER: 376101667
VISIT DATE: 11/30/2023
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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.

On 8/22/23 the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (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 was informed of the MyChildCarePlan.org site, 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.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SAFI, BIBIELHAMIA & WAHIDULLAH FAMILY CHILD CARE
FACILITY NUMBER: 376101667
VISIT DATE: 11/30/2023
NARRATIVE
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

The following item will need to be corrected prior to the issuance of the license: Carbon Monoxide detector is required in the home. Once the correction has been made, and proof has been received in the licensing office, a license for fourteen (14) children will be granted. Licensee also understands that if corrections are not completed within thirty (30) days, application may be denied. Applicant agrees to comply with all regulations and laws governing Large Family Child Care Homes.

Exit interview was conducted and report was reviewed with licensees, Bibielhamia & Wahidullah Safi.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
LIC809 (FAS) - (06/04)
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