376101743-11-13-2023-51-CC-ALMA-CXJPB4-20231113100944

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376101743
Report Date: 11/13/2023
Date Signed: 11/13/2023 10:09:55 AM

Document Has Been Signed on 11/13/2023 10:09 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	MANGAL, BASMEENA FAMILY CHILD CARE		FACILITY NUMBER:	376101743
ADMINISTRATOR:	BASMEENA MANGAL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 689-0448
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	11/13/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Basmeena Mangal		TIME COMPLETED:	10:30 AM

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On 11/13/23 at 8:30 AM Licensing Program Analyst (LPA) Adrian Mangina conducted an announced change of location Pre-Licensing inspection with the applicant, Basmeena Mangal. Also present in the home during the inspection was husband Salahuddin Sherzai and brother-in-law Shams Sherzai who provided translation. The 4-bedroom, 4-bathroom two story home was toured and inspected to ensure an environment safe for the care and supervision of children. Licensee owns home. A copy of the tax bill was provided as proof of control of property. Applicant agreed to comply with all regulations and laws governing family child-care homes. Applicant states that they have sufficient financial resources to sustain the license.

Applicant will be using the following rooms for childcare: kitchen, living room, downstairs bedroom, bathroom 1, bathroom 2, and hallway. The following areas will be off limits: laundry room, attached garage, and entire second floor. The off-limit areas have either have safety latches, locks, doorknob covers or gates to prevent access.There are no bodies of water on the property. The applicant has sufficient toys and equipment available. Outdoor play area is the fenced backyard.

The 2A10BC fire extinguisher located in the kitchen and the combination smoke detector/carbon monoxide detector located in hallway meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. Licensee states that there are no weapons in the home. LPA reviewed staff, child files, roster, and disaster drill log.

A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Applicant 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

continued on LIC809 page 2

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2023

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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: MANGAL, BASMEENA FAMILY CHILD CARE	FACILITY NUMBER: 376101743
	VISIT DATE: 11/13/2023

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LIC809 page 2

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.

Fire clearance was granted on 11/7/23. Licensee’s First Aid and CPR expire on 9/2025. Assistant Salahuddin’s First Aid and CPR expire on 2/2025. Mandated Reporter Training AB 1207 was waived due to language. Staff immunization requirements per SB792 were met.

The new provider packet was reviewed with the applicant including information on ratios and capacity, child abuse reporting, children’s records, immunizations, adults living or working in the home, car seat law, shaken baby syndrome, SIDS, safe sleep practices, effects of lead poisoning, and the YMCA Resource Center. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, jumpers, and bouncy seats are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided applicant with the following information:

· Child Care Advocates - email address childcareadvocatesprogram@dss.ca.gov.

· For common questions or questions regarding licensing requirements to contact the Child Care Licensing duty line at 619-767-2248.
LPA reviewed with applicant 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. Entrance

LPA discussed the safe sleep regulations with applicant 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. 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.

continued on LIC809 page 3

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2023

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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: MANGAL, BASMEENA FAMILY CHILD CARE	FACILITY NUMBER: 376101743
	VISIT DATE: 11/13/2023

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LIC809 page 3

On this date, 11/13/23, 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.

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.

Applicant 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.

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.

No corrections are needed. A large license for up to 14 children may be granted upon final file review.

Exit interview conducted and report was reviewed with the Licensee, Basmeena Mangal

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2023

LIC809 (FAS) - (06/04)

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