<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376620252
Report Date: 11/06/2024
Date Signed: 11/06/2024 06:32:30 PM

Document Has Been Signed on 11/06/2024 06:32 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:WARSAME, ABDIKARIM FAMILY CHILD CAREFACILITY NUMBER:
376620252
ADMINISTRATOR/
DIRECTOR:
ABDIKARIM WARSAMEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 262-1551
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 22CENSUS: 0DATE:
11/06/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:30 PM
MET WITH:Abdikarim WarsameTIME VISIT/
INSPECTION COMPLETED:
06:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On November 6, 2024, at 3:30PM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the licensee, Abdikarim Warsame. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee.'s cleared and associated mother, Asha Abdi. Mr. Warsame arrived within 30 minutes and met with analyst. No children were present in the facility today. This facility is a two floor, four bedroom, two and 1/2 bathroom house. Licensee accompanied LPA inside the facility during this inspection. The following areas used for child care are: the kitchen, the dining area, the living room, the family room and the day care bathroom. Off limits areas are the garage and the entire upstairs. The garage is inaccessible through use of a locking door handle. The upstairs is made inaccessible with a child safety gate that is installed when day care children are present. Licensee has a fire place in the family room which is inoperable but is made inaccessible with a board in front of it and a furniture barricade.

The fire extinguisher and combination smoke and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensee has sufficient day care equipment available. The home has a fenced backyard that is off limits. The yard is made off limits with a latching sliding patio door. The door also has a safety alarm installed on it to further prevent children from accessing the off limits yard. Licensee instead takes children to a local park for outdoor activity whenever it is needed.

No bodies of water observed on the premises during the inspection. Licensee stated there are no weapons in the home. 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.

Licensee’s and helper parent, Asha Abdi's First Aid and CPR certifications both expire on August of 2026. Licensee has required immunizations. Licensee completed Mandated Reporter Training on 08/29/24 while Ms. Abdi is currently exempt from Mandated Reporter Training.Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 08/19/24 and 08/26/24. Licensee currently has one infant in care but states that child is able to get out of a crib by his own effort and, when in the home, sleeps on a napping mattress. The provider physically checks on sleeping infants every 15 minutes.
Jason GarayTELEPHONE: (619) 767-2250
Luigi GargaroTELEPHONE: (619) 767-2229
DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: WARSAME, ABDIKARIM FAMILY CHILD CARE
FACILITY NUMBER: 376620252
VISIT DATE: 11/06/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248. Unusual Incident Reports may be e-mailed to: SDIncidentReports@dss.ca.gov

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.

One type B violation California Code of Regulations, (Title 22, Division 12 & Chapter 3), is being cited on the attached LIC 809-D.

An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

LPA provided licensee with a notice of site visit to post at the facility for 30 days.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3
Document Has Been Signed on 11/06/2024 06:32 PM - It Cannot Be Edited

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: WARSAME, ABDIKARIM FAMILY CHILD CARE

FACILITY NUMBER: 376620252

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/06/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on analyst record review, the licensee did not comply with the section cited above as the safe sleep log being maintained for the twenty-one month old infant he has in care has been completed incorrectly which poses/posed a potential health, safety or personal rights risk to the infant..
POC Due Date: 11/18/2024
Plan of Correction
1
2
3
4
Licensee stated he was not aware of the proper way to complete the sleep log. Analyst reviewed the correct way to complete the log with the licensee.The licensee states he will send analyst a completed copy of the log by 11/18/24, for the sample period of 11/06/24 - 11/17/24, to eemonstrate compliance and correct the deficiency.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Jason GarayTELEPHONE: (619) 767-2250
Luigi GargaroTELEPHONE: (619) 767-2229

DATE: 11/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2024

LIC809 (FAS) - (06/04)
Page: 2 of 3