376625549-6-24-2024-51-CC-SBAS-D6JVJU-20240624162920

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376625549
Report Date: 06/24/2024
Date Signed: 06/24/2024 04:29:30 PM

Document Has Been Signed on 06/24/2024 04:29 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:	EDRISAVIFEYAH, MALIHA FAMILY CHILD CARE		FACILITY NUMBER:	376625549
ADMINISTRATOR:	MALIHA EDRISAVIFEYAH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(858) 705-9138
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92127
CAPACITY:	14	CENSUS: 8	DATE:	06/24/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Maliha Edrisavifeyah		TIME COMPLETED:	04:45 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 06/24/2024 at 1:45 PM, Licensing Program Analyst (LPA) Sherlynn Banas conducted an unannounced random inspection with the Licensee, Maliha Edrisavifeyah. LPA was greeted by helper, Samira Taomi and was granted entry upon showing identification and business card. Licensee came and greeted LPA Banas. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Present at the facility were the Licensee and her helper with 9 sleeping daycare children. The home has a fully charged fire extinguisher, smoke and carbon monoxide detector in one that met requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. Licensee stated that there are no bodies of water or 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. Licensee’s First Aid and CPR certifications are valid through September 30, 2025. Samira Taomi's CPR/FA expires on February 3, 2026. Licensee completed the online mandated child abuse training on 07/11/2023 and it must be renewing every two years. Helper did not take the Mandated Reporter Training because she speaks Farsi. Children’s records were reviewed. Facility has an updated roster and fire drill log available for review. Licensee last conducted a drill with the children in care on June 8, 2024. A copy of the facility roster was obtained during today’s inspection. The hours of operation are from 7:00 AM to 5:00 PM from Mondays to Thursdays. The day care closes at 4:00 PM. on Fridays. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for childcare include daycare room, bedroom 1, bathroom, and playground. Off limits areas are bedroom 2, bathroom by bedroom 1, laundry room, backyard and front yard and are inaccessible through use of doorknob covers and locked doors. The facility has sufficient toys and equipment available. Licensee was reminded that supervision is required when children are outside. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Sherlynn Banas	TELEPHONE: (619) 629-8368
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2024

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: EDRISAVIFEYAH, MALIHA FAMILY CHILD CARE	FACILITY NUMBER: 376625549
	VISIT DATE: 06/24/2024

NARRATIVE

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LPA discussed the safe sleep regulations with licensee 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 licensee 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.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with provider and advised her to go on the website at www.meganslaw.ca.gov.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Sherlynn Banas	TELEPHONE: (619) 629-8368
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2024

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: EDRISAVIFEYAH, MALIHA FAMILY CHILD CARE	FACILITY NUMBER: 376625549
	VISIT DATE: 06/24/2024

NARRATIVE

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During the exit interview, the licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A technical violation was issued for the repair of hole by the bathroom doorknob. The bathroom by bedroom 1 was off-limits with a child safety lock.

Exit interview conducted and report was reviewed with the licensee. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Sherlynn Banas	TELEPHONE: (619) 629-8368
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2024

LIC809 (FAS) - (06/04)

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