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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376102233
Report Date: 11/01/2024
Date Signed: 11/01/2024 01:54:09 PM

Document Has Been Signed on 11/01/2024 01:54 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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:NADIRI, BENAFSHA FAMILY CHILD CAREFACILITY NUMBER:
376102233
ADMINISTRATOR/
DIRECTOR:		BENAFSHA NADIRIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 631-9283
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 14TOTAL ENROLLED CHILDREN: 2CENSUS: 0DATE:
11/01/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:05 PM
MET WITH:Benafsha NadiriTIME VISIT/
INSPECTION COMPLETED:
02:08 PM
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On November 1, 2024, at 12:05 PM, Licensing Program Analyst (LPA) Sherlynn Banas conducted an announced Change of location and Capacity Increase for Benafsha Nadiri (licensee). Upon arrival, LPA met with licensee and husband, Asadullah Nadiri. The two-story apartment was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher, carbon monoxide and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There is a working phone at the facility. There is a pool within the complex, but far from their apartment. Applicant states that there are no weapons in the home. Applicant states that they have sufficient financial resources to sustain the license. CPR and First Aid expire in November 2025. Preventative health practices course was completed on December 20, 2021, which includes lead poison prevention training. Mandated reporter training was waived. Licensee speaks Dari. The Earthquake Disaster Plan will be added to the posting. An Individual Sleep Plan for Child 1 must be signed. Licensee rents the home. The applicant has toys and equipment available. Hours of operation are from 7:00 AM. to 9:00 PM. daily.

Licensee will be using the following rooms for childcare: Living room, kitchen, bedroom 1, backyard, and bathroom downstairs are used and accessible for day care. Off-limits areas include bedroom 2, bathroom upstairs are inaccessible using doorknob covers. There are 2 safety gates installed going to the second floor and at the end of the stairs. LPA asked if there is a separate room or place for isolation when one child/ children were sick, and licensee stated that bedroom 1 will be used. The children will be brought to Renette Park for outdoor activities. LPA reminded licensee that there should always be supervision. Verification of control of property is on file. Property owner/Landlord notification is on file.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NADIRI, BENAFSHA FAMILY CHILD CARE
FACILITY NUMBER: 376102233
VISIT DATE: 11/01/2024
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LPA reviewed with licensee 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. The new provider packet was reviewed with the applicant including information on child abuse and unusual incident reporting. LPA provided information regarding 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 applicant discussed Shaken Baby Syndrome and California Megan's Law. LPA provided: www.meganslaw.ca.gov.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep information which can be found at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant 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.

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 platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024
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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NADIRI, BENAFSHA FAMILY CHILD CARE
FACILITY NUMBER: 376102233
VISIT DATE: 11/01/2024
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Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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)/ (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.

Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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)/ (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 reminded of the staffing/capacity ratios for Large Family Childcare Homes. Twelve (12) children, no more than 4 infants (birth to 24 months) and 8 older children over the age of 2. A qualified assistant (age 14 or older) is required. For fourteen (14) children, no more than 3 infants (birth to 24 months) and 11 older children; at least 2 school age, 1 child at least age 6, 1 child enrolled in and attending kindergarten or elementary school. When there isn't a qualified assistant, licensee must follow Small Family Home Childcare Regulations. No Landlord Consent on file.

No deficiencies were cited during today’s visit.

A license for a capacity of fourteen (14) will be issued after final file review. An exit interview was conducted the report was reviewed with licensee, Benafsha Nadiri and an Appeal Rights were provided to licensee. A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024
LIC809 (FAS) - (06/04)
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