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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625549
Report Date: 10/09/2024
Date Signed: 10/09/2024 11:01:50 AM

Document Has Been Signed on 10/09/2024 11:01 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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:EDRISAVIFEYAH, MALIHA FAMILY CHILD CAREFACILITY NUMBER:
376625549
ADMINISTRATOR/
DIRECTOR:		MALIHA EDRISAVIFEYAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 705-9138
CITY:SAN DIEGOSTATE: CAZIP CODE:
92127
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 7DATE:
10/09/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:32 AM
MET WITH:Maliha EdrisavifeyahTIME VISIT/
INSPECTION COMPLETED:
11:10 AM
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On 10/9/2024 at 9:15 AM., Licensing Program Analyst (LPA) Sherlynn Banas conducted an unannounced case management inspection. Upon arrival licensee, Maliha Edrisavifeyah greeted LPA and granted entry. Samira Taami, helper, was also present. There were 6 day care children including 3 infants upon arrival of LPA. There was 1 additional child who came at 9:20 AM. Facility is within staffing ratio. Children's and staff records were review.

Licensee’s First Aid and CPR certifications are valid through September 30, 2025. Samira Taami'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 September 20, 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.

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 and bathroom, upstairs and backyard that is connected to the family room. All off limit areas have doorknob covers to prevent children's 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.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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 2
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: 10/09/2024
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LPA Banas has checked the following for compliance: the staffing ratio and capacity, Infant safe sleep documentation which includes the Individual Sleeping Plan and Safe sleep log for infants, completed child files, updated roster, and completed employee record. All documents were in compliance. LPA Banas has checked if the daycare uses prohibited items as baby walker, exersaucers, and baby bouncers which were not present at the inspection.

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: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC809 (FAS) - (06/04)
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