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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376624041
Report Date:
12/30/2024
Date Signed:
12/30/2024 04:47:44 PM
Document Has Been Signed on
12/30/2024 04:47 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:
SAID, MOHAMED & ADEN, AMBARO FAMILY CHILD CARE
FACILITY NUMBER:
376624041
ADMINISTRATOR/
DIRECTOR:
MOHAMED S. & AMBARO A.
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(619) 808-1499
CITY:
SAN DIEGO
STATE:
CA
ZIP CODE:
92105
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
20
CENSUS:
0
DATE:
12/30/2024
TYPE OF VISIT:
Annual/Random
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:
Ambaro Aden
TIME VISIT/
INSPECTION COMPLETED:
04:55 PM
NARRATIVE
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On December 30, 2024, at 1:00PM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with co-licensee, Ambaro Aden. LPA disclosed the purpose of the inspection and was granted entry into the facility by the co-licensee. Ms. Aden
does not speak English
but during the inspection LPA utilized the Focus International phone translation service to provide assistance in communicating with Ms. Aden and was also able to reach co-licensee Mohamed Said on the phone who provided additional translation help. Solely, Ms. Aden and no day care children were present in the facility during this inspection. Analyst was advised that no children were attending due to the holidays but that care is to resume beginning January 6th when children return from vacation.
This facility is a one floor, two bedroom, one bathroom apartment. Licensee accompanied LPA inside of the facility during this inspection. The following areas used for child care are: the kitchen, the living room, the first bedroom and the bathroom. Off limits area is the second bedroom which is inaccessible through use of a door knob cover that is installed on its door handle.
The fire extinguisher and combination smoke and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensees have day care equipment available. The licensees take children to a local park for outdoor activities. No bodies of water observed on the premises during the inspection. Licensees 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.
Licensees did not have current First Aid and CPR certifications available for review during today's visit. Licensees have their required immunizations. Co-licensee Said's Mandated Reporter Training certificate expired on 12/21/24 while co-licensee Aden is currently exempt from Mandated Reporter Training. A facility roster was not available for review during today's visit. The last fire and disaster drills were conducted and documented on 12/10/22.
SUPERVISORS NAME
:
Jason Garay
LICENSING EVALUATOR NAME
:
Luigi Gargaro
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/30/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/30/2024
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
7
Document Has Been Signed on
12/30/2024 04:47 PM
- It Cannot Be Edited
Created By:
Luigi Gargaro
On
12/30/2024
at
02:53 PM
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:
SAID, MOHAMED & ADEN, AMBARO FAMILY CHILD CARE
FACILITY NUMBER:
376624041
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
12/30/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan.
This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on analyst initial record review, the licensees did not comply with the section cited above as the facility's disaster plan was not posted in the day care which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
12/30/2024
Plan of Correction
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The deficiency was corrected as, after the citation was issued, the disaster plan was located in a notebook that contained other licensing paperwork. Licensees were advised to place the plan in the notification posting area in their home to maintain compliance.
Section Cited
Deficient Practice Statement
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4
POC Due Date:
Plan of Correction
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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.
SUPERVISOR'S NAME:
Jason Garay
LICENSING EVALUATOR NAME:
Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE:
12/30/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/30/2024
LIC809
(FAS) - (06/04)
Page:
2
of
7
Document Has Been Signed on
12/30/2024 04:47 PM
- It Cannot Be Edited
Created By:
Luigi Gargaro
On
12/30/2024
at
02:53 PM
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:
SAID, MOHAMED & ADEN, AMBARO FAMILY CHILD CARE
FACILITY NUMBER:
376624041
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
12/30/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)1
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst observation and record review, the licensees did not comply with the section cited above as their last logged time conducting fire and earthquake drills was 12/10/22 which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
01/13/2025
Plan of Correction
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Licensee Said stated that they have conducted drills since that time but have not logged them. Licensee states he will document all drills conducted since that time and conduct a current drill for the most recent six months and add that to the log if it has not been completed yet and then submit of copy of the updated log to analyst by 01/13/25 to complete the correction.
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:
Jason Garay
LICENSING EVALUATOR NAME:
Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE:
12/30/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/30/2024
LIC809
(FAS) - (06/04)
Page:
3
of
7
Document Has Been Signed on
12/30/2024 04:47 PM
- It Cannot Be Edited
Created By:
Luigi Gargaro
On
12/30/2024
at
02:53 PM
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:
SAID, MOHAMED & ADEN, AMBARO FAMILY CHILD CARE
FACILITY NUMBER:
376624041
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
12/30/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)(C)
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: Infants up to 12 month of age who are sleeping in a position other than on their back.
This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on analyst interview and record review, the licensees did not comply with the section cited above as they stated they have not been keeping infant sleep logs for the infants they have in care which poses/posed a potential health, safety or personal rights risk to infants in care.
POC Due Date:
01/13/2025
Plan of Correction
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Licensees were provided with a sample safe sleep log sheet and stated that they will complete its entries every time infants nap in the home going forward. Licensees state they will begin maintaining the log when chiildren return to care on 01/06/25 and send him a copy of the entries from that day through 01/10/25 by 01/13/25 to complete the correction.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst record review, co-licensee Said's Mandated Reporter Training Certificate did not comply with the section cited above as it expired on 12/10/24 which poses/posed a potential health, safety or personal rights risk to children in care. Co-licensee Aden is exempt from the requirement.
POC Due Date:
01/27/2025
Plan of Correction
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Licensee Said states he will complete the on-line training at mandatedreporterca.com and send analyst a copy of the certificate of completion by 01/27/25 to correct the deficiency.
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:
Jason Garay
LICENSING EVALUATOR NAME:
Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE:
12/30/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/30/2024
LIC809
(FAS) - (06/04)
Page:
4
of
7
Document Has Been Signed on
12/30/2024 04:47 PM
- It Cannot Be Edited
Created By:
Luigi Gargaro
On
12/30/2024
at
02:53 PM
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:
SAID, MOHAMED & ADEN, AMBARO FAMILY CHILD CARE
FACILITY NUMBER:
376624041
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
12/30/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on analyst record review, the licensees both did not comply with the section cited above as they did not have current copies of required CPR/First Aid certifications which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
01/27/2025
Plan of Correction
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Licensees state they will attempt to locate copies of their most recent trainings and if unable to find them will enroll in an EMSA approved training course and send analyst a completed training certificate by 01/27/25 to correct the deficiency.
Type B
Section Cited
CCR
102417(g)(7)
Operation of A Family Child Care Home
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on analyst record review, the licensees did not comply with the section cited above as they did not have any records on file for any children in care which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
01/13/2025
Plan of Correction
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Licensee Said stated he maintains the records digitally for children in care and will submit a copy of them for four children of his choosing and update all other files and then send analyst a copy of those four files by 01/13/25 to complete the correction. Licensee also understands that children's files must always be available for review by department analysts and should maintain accessible copies at the facility going forward.
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:
Jason Garay
LICENSING EVALUATOR NAME:
Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE:
12/30/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/30/2024
LIC809
(FAS) - (06/04)
Page:
5
of
7
Document Has Been Signed on
12/30/2024 04:47 PM
- It Cannot Be Edited
Created By:
Luigi Gargaro
On
12/30/2024
at
02:53 PM
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:
SAID, MOHAMED & ADEN, AMBARO FAMILY CHILD CARE
FACILITY NUMBER:
376624041
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
12/30/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(8)
Operation of A Family Child Care Home
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on analyst record review, the licensees did not comply with the section cited above as the facility did not have a roster to review during today's visit which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date:
01/06/2025
Plan of Correction
1
2
3
4
Licensee Said stated that he maintains the facility roster digitally but has to update it to only include current day care children. Licensee stated he will update his roster and send analyst a copy by 01/06/25 to commplete the correction. Licensees understand a current roster must always be maintained at the facility for analysts to review during any in person visit and at any given time.
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.
SUPERVISOR'S NAME:
Jason Garay
LICENSING EVALUATOR NAME:
Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE:
12/30/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/30/2024
LIC809
(FAS) - (06/04)
Page:
6
of
7
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:
SAID, MOHAMED & ADEN, AMBARO FAMILY CHILD CARE
FACILITY NUMBER:
376624041
VISIT DATE:
12/30/2024
NARRATIVE
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There is one crib or play yard for each infant who is unable to climb out of the crib or play yard. Cribs or play yards are free from all loose articles and objects. The provider states she physically checks on sleeping infants every 15 minutes but has not been maintaining a safe sleep log for the ones she has in care. The licensees are to keep an Individual Infant Sleeping Plan [LIC 9227 (3/20)] for each infant up to 12 months of age. The provider places infants up to 12 months of age on their backs for sleeping.
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
.
Seven type B violations California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.
An exit interview was conducted with licensee Said over the phone and licensee Aden signed the report for the facility. 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 a Notice of Site Visit and licensees were advised it must be posted at the facility for 30 days.
SUPERVISORS NAME
:
Jason Garay
LICENSING EVALUATOR NAME
:
Luigi Gargaro
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/30/2024
LIC809
(FAS) - (06/04)
Page:
7
of
7