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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625549
Report Date: 02/27/2024
Date Signed: 02/27/2024 10:58:28 AM

Document Has Been Signed on 02/27/2024 10:58 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:EDRISAVIFEYAH, MALIHA FAMILY CHILD CAREFACILITY NUMBER:
376625549
ADMINISTRATOR:MALIHA EDRISAVIFEYAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 705-9138
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 11DATE:
02/27/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Maliha EdrisavifeyahTIME COMPLETED:
11:10 AM
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On 02/27/2024 at 9:15am, Licensing Program Analyst (LPA) Selina Siao conducted an unannounced case management inspection. Upon arrival licensee and her helper Samira Taami is at the facility with 11-day care children including 4 infants. Facility is within staffing ratio. Children's records were previously reviewed.

LPA conducted a tour of all the day care areas which includes the living room, bedroom #1, bedroom #2, kitchen for none walking infants only to be inside the playpen and bathroom and playground located outside of bedroom #1. Off limit areas includes the family room, bathroom located inside bedroom #1, laundry room and the converted garage (ADU) and bathroom, upstairs and backyard that is connected to the family room. All off limit areas have doorknob covers to prevent children access and there is safety gate at the bottom of the stairs to prevent children's access. Facility has an operating carbon monoxide detector, smoke detector located in the day care living room and a fully charged fire extinguisher located in the kitchen. Licensee last conducted a fire drill with the children in care on 12/28/2023 and her roster is up to date. Licensee's CPR/FA is valid through 09/30/2025 and her helper Samira Taami's CPR/FA is valid through 2/3/2026. Both have the required measles and TDAP immunizations.

Licensee has completed all the required courses listed on the noncompliance conference office meeting on 07/13/2023 which includes Environmental Safety (1 hour),
Staffing Child Care Programs (1 hour) and Infant and Toddler: Health and Safety (2 hours). Licensee completed the videos and submitted a summary on How Many Children Can Attend a Family Child Care Home; Locks and Inaccessibility Requirements in Child Care & Record Keeping in Family Child Care Home. All documents was received on 07/25/2023.

Licensee will continue to remind day care parents to sign in and out daily. Facility is within substantial compliance during today's inspection. Notice of Site visit was provided, and it must remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Selina Siao
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2024
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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