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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101920
Report Date: 04/25/2024
Date Signed: 04/25/2024 03:55:58 PM

Document Has Been Signed on 04/25/2024 03:55 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:AZAD, AQILA & ABDUL FAMILY CHILD CAREFACILITY NUMBER:
376101920
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
04/25/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Aqila & Abdul AzadTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On 4/25/24 @ 8:45AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced case management inspection. Licensees requested an increase of capacity. Fire Marshall clearance was granted by the Heartland Fire & Rescue on 4/16/2024.

Licensees maintained a smoke and carbon monoxide detectors. Both were tested today and were observed operable. There is a regulation-size fire extinguisher present in the home. There is a barricade at the bottom of the stairs to make the second floor inaccessible to children.

The following areas are accessible to children: living room, dining, kitchen, downstair bathroom and patio area for outside play. Licensees were reminded today that the second floor must remain off-limits to children. Licensees stated that they don't maintain any weapons or bodies of water within the premises. LPA did not observed bodies of water. Form LIC 9149 (Landlord consent) signed by the landlord was provided today by Mr. Azad.

On 4/25/2024 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..
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2024
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 04/25/2024 03:55 PM - It Cannot Be Edited


Created By: Nancy Diaz On 04/25/2024 at 09:35 AM
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: AZAD, AQILA & ABDUL FAMILY CHILD CARE
FACILITY NUMBER: 376101920

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/02/2024
Section Cited
CCR
102417(g)(9)(A)

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OPERATION OF A FAMILY CHILD CARE HOME.
Each family child care home shall conduct fire drills and disaster drills at least once every six months.
This requirement was not met as evidenced by:
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Mr. Azad stated that he will conduct a fire drill with the children no later than 5/2/2024. He will submit a copy of the fire drill log to the department indicating when the fire drill was conducted.
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Based on file review, Licensees have not conducted a fire drill since they were licensed in 2021 at a different location.
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Type B
05/02/2024
Section Cited
CCR102425(j)(2)(D)

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INFANT SAFE SLEEP
Documentation shall be maintained in the infant’s file...
a. Date.
b. Infant’s name.
c. Time of each 15-minute check.

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LPA provided the licensees a sample copy of the nap log. Licensees stated that he will start documenting infant nap log immediately and will submit copies of logs to the department by 5/2/2024.
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THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY:
Based on LPA's file review and interview, licensees did not maintain the required infant nap sleep log.
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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: 04/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2024


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 04/25/2024 03:55 PM - It Cannot Be Edited


Created By: Nancy Diaz On 04/25/2024 at 09:46 AM
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: AZAD, AQILA & ABDUL FAMILY CHILD CARE
FACILITY NUMBER: 376101920

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/02/2024
Section Cited
CCR
102421

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CHILD'S RECORDS
The licensee shall maintain, in each child's record, a copy of the emergency information card...
This requirement was not met as evidenced by:
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Mr. Azad stated that he will provide required forms to parents of children for completion and will submit copies to the department no later than 5/2/2024.
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Licensees failed to maintain required children's records for child ZZ & NA.
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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: 04/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2024


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: AZAD, AQILA & ABDUL FAMILY CHILD CARE
FACILITY NUMBER: 376101920
VISIT DATE: 04/25/2024
NARRATIVE
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LPA discussed the safe sleep regulations with licensees, Mr. and Mrs. Azad 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 licensees 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.


TYPE B DEFICIENCIES WERE CITED TODAY. TYPE B DEFICIENCIES IF NOT CORRECTED POSES A POTENTIAL RISK TO THE HEALTH, SAFETY OR PERSONAL RIGHTS OF CHILDREN IN CARE

Exit interview was conducted with the licensees. LPA reviewed and provided a copy of this report to the licensees. Appeal rights and notice of site visit were also given. Notice of site visit must be posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024
LIC809 (FAS) - (06/04)
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