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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376626708
Report Date:
08/25/2022
Date Signed:
08/25/2022 05:39:17 PM
Document Has Been Signed on
08/25/2022 05:39 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:
SOKANA, MEREIAN FAMILY CHILD CARE
FACILITY NUMBER:
376626708
ADMINISTRATOR:
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
CITY:
STATE:
ZIP CODE:
CAPACITY:
8
TOTAL ENROLLED CHILDREN:
4
CENSUS:
4
DATE:
08/25/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
02:02 PM
MET WITH:
Mereian Sokana
TIME COMPLETED:
06:10 PM
NARRATIVE
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On 8/25/22 at 2:02 PM Licensing Program Analyst (LPA) Patrick Ma conducted an unannounced annual inspection with the Licensee. Upon arrival, LPA met with Licensee Mereian Sokana. Also, in the home was husband Rwad Yacoub, who is not fingerprint cleared or associated to the license but stated he just moved in on 8/23/22. Licensee was provided the Inspection Checklist (LIC 126). LPA used Language link translator #1169 to communicate with Licensee. The 2 story home was toured and inspected to ensure an environment safe for the care and supervision of children. There were no children in care initially but 4 children arrived around 3:30pm. Children in care are between the ages of 6 and 11.
Living room did not have furniture but the remainder of the home was furnished. Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include entire living room, kitchen, dining room, sitting room, one bedroom upstairs for napping (second bedroom to the right) and upstairs hallway bathroom. Off limits areas include garage, backyard (via door latch up high), master bedroom/bathroom, downstairs bathroom, and first bedroom to the right and are inaccessible through use of door knob covers and door latch. The licensee has sufficient toys and equipment available. There is a nearby park that Licensee takes the children to for outdoor activities. Licensee understands that visual supervision is required at all times during outdoor activities. LPA conducted child care quality management interview with the Licensee.
The fire extinguisher, smoke detector, and carbon monoxide detector meet requirements and are operational. LPA reminded licensee all hazardous items need to be latched/locked and secured out of reach of children. There is no body of water on the property. Licensee states that there are no weapons in the home. First Aid and CPR certifications have expired and needs to be renewed per regulations 102416(c). Licensee has required immunizations. Licensee is exempt from Mandated Reporter Training as their primary language is Arabic. Children’s and Staff records were reviewed.
SUPERVISORS NAME
:
Renesha Askew
LICENSING EVALUATOR NAME
:
Patrick Ma
LICENSING EVALUATOR SIGNATURE
:
DATE:
08/25/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/25/2022
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
11
Document Has Been Signed on
08/25/2022 05:39 PM
- It Cannot Be Edited
Created By:
Patrick Ma
On
08/25/2022
at
04:07 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:
SOKANA, MEREIAN FAMILY CHILD CARE
FACILITY NUMBER:
376626708
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
08/25/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
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:
This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on observation, central heating and A/C unit was accessible which poses a potential hazard to the health and safety of children in care if not corrected.
POC Due Date:
09/25/2022
Plan of Correction
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2
3
4
Licensee stated she wil make the heating and A/C unit inaccessible and submit proof to LPA Ma by POC date.
Type B
Section Cited
CCR
102417(g)(4)
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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
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4
Based on observation, alcohol stored on the bottom shelf of a glass cabinet located in the dining room was accessible to children. This poses a potential hazard to the health and safety of children in care if not corrected.
POC Due Date:
08/25/2022
Plan of Correction
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This deficiency was corrected during inspection.
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:
Renesha Askew
LICENSING EVALUATOR NAME:
Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE:
08/25/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/25/2022
LIC809
(FAS) - (06/04)
Page:
2
of
11
Document Has Been Signed on
08/25/2022 05:39 PM
- It Cannot Be Edited
Created By:
Patrick Ma
On
08/25/2022
at
04:07 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:
SOKANA, MEREIAN FAMILY CHILD CARE
FACILITY NUMBER:
376626708
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
08/25/2022
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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2
3
4
Based on interview and records review, licensee did not have an Emergency Disaster Plan on record at the facilty which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
09/25/2022
Plan of Correction
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Licensee stated she will complete the LIC 610A Emergency Disaster Plan and send proof to LPA Ma by POC date and keep on file at the facility.
Section Cited
Deficient Practice Statement
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2
3
4
POC Due Date:
Plan of Correction
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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:
Renesha Askew
LICENSING EVALUATOR NAME:
Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE:
08/25/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/25/2022
LIC809
(FAS) - (06/04)
Page:
3
of
11
Document Has Been Signed on
08/25/2022 05:39 PM
- It Cannot Be Edited
Created By:
Patrick Ma
On
08/25/2022
at
04:07 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:
SOKANA, MEREIAN FAMILY CHILD CARE
FACILITY NUMBER:
376626708
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
08/25/2022
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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4
Based on interview and records review, there is not documented emergency and fire drill on record at the facility. This poses a potential hazard to the health and safety of children in care if not corrected.
POC Due Date:
09/25/2022
Plan of Correction
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4
Licensee stated she will complete a fire/emergency drill with the children and submit proof to LPA Ma by the POC date.
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:
Renesha Askew
LICENSING EVALUATOR NAME:
Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE:
08/25/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/25/2022
LIC809
(FAS) - (06/04)
Page:
4
of
11
Document Has Been Signed on
08/25/2022 05:39 PM
- It Cannot Be Edited
Created By:
Patrick Ma
On
08/25/2022
at
04:07 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:
SOKANA, MEREIAN FAMILY CHILD CARE
FACILITY NUMBER:
376626708
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
08/25/2022
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 records review and interview, Licensee's first aid/CPR certification, completed 2/6/22, was not by EMSA provider. This poses a potential hazard to the health and safety of children in care if not corrected.
POC Due Date:
09/25/2022
Plan of Correction
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4
Licensee stated she will enroll in a pediatric EMSA First Aid/CPR course and provided proof of enrollment to LPA Ma by POC date.
Section Cited
Deficient Practice Statement
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2
3
4
POC Due Date:
Plan of Correction
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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:
Renesha Askew
LICENSING EVALUATOR NAME:
Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE:
08/25/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/25/2022
LIC809
(FAS) - (06/04)
Page:
5
of
11
Document Has Been Signed on
08/25/2022 05:39 PM
- It Cannot Be Edited
Created By:
Patrick Ma
On
08/25/2022
at
04:07 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:
SOKANA, MEREIAN FAMILY CHILD CARE
FACILITY NUMBER:
376626708
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
08/25/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102419(d)(1)
Admission Procedures and Authorized Representatives Rights
(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or
authorized representative has received and read the LIC 995A. The bottom portion of this form
must be kept in the child’s file as proof that the parent or authorized representative has been
notified of his or her rights and received a copy of the Caregiver background Check Process, LIC
995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05).
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on records review, 4 of 4 children (C1-4) did not have signed LIC 995A records on file. This poses a potential hazard to the health and safety of children in care if not corrected.
POC Due Date:
09/25/2022
Plan of Correction
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4
Licensee stated she will have enrolled parents complete, sign LIC 995A and provide proof to LPA Ma by POC date.
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:
Renesha Askew
LICENSING EVALUATOR NAME:
Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE:
08/25/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/25/2022
LIC809
(FAS) - (06/04)
Page:
6
of
11
Document Has Been Signed on
08/25/2022 05:39 PM
- It Cannot Be Edited
Created By:
Patrick Ma
On
08/25/2022
at
04:26 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:
SOKANA, MEREIAN FAMILY CHILD CARE
FACILITY NUMBER:
376626708
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
08/25/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(g)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on records review, 4 of 4 children (C1-4) did not have immuniation records on file. This poses a potential hazard to the health and safety of children in care if not corrected.
POC Due Date:
09/25/2022
Plan of Correction
1
2
3
4
Licensee stated she will submit proof of immunization on record to LPA Ma by POC date.
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:
Renesha Askew
LICENSING EVALUATOR NAME:
Patrick Ma
LICENSING EVALUATOR SIGNATURE:
DATE:
08/25/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/25/2022
LIC809
(FAS) - (06/04)
Page:
9
of
11
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:
SOKANA, MEREIAN FAMILY CHILD CARE
FACILITY NUMBER:
376626708
VISIT DATE:
08/25/2022
NARRATIVE
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Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms; corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA reviewed Covid-19 guidelines with Licensee and provided Covid-19 resources. LPA directed Licensee to website:
https://www.cdss.ca.gov/inforesources/community-care-licensing
to receive important updates and information. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.
LPA discussed the safe sleep regulations with licensee and discussed the Childcare Licensing Safe Sleep web page at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/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.
LPA reviewed with Licensee the LIC 311D, Forms/Records. To Keep In Your Family Childcare Homes, children’s forms/records, facility forms/records, and information to be posted.
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 was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Childcare Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
LPA discussed and provided Licensee with the following: childcare advocates-email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Childcare Licensing Duty Line at (619) 767-2248.
SUPERVISORS NAME
:
Renesha Askew
LICENSING EVALUATOR NAME
:
Patrick Ma
LICENSING EVALUATOR SIGNATURE
:
DATE:
08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/25/2022
LIC809
(FAS) - (06/04)
Page:
10
of
11
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:
SOKANA, MEREIAN FAMILY CHILD CARE
FACILITY NUMBER:
376626708
VISIT DATE:
08/25/2022
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Childcare 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 Childcare Centers and the ADA, available at:
http://www.ada.gov/childqanda.htm
See LIC809D for deficiencies cited.
To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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
.
Exit interview conducted and report was reviewed with the licensee Mereian Sokana. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME
:
Renesha Askew
LICENSING EVALUATOR NAME
:
Patrick Ma
LICENSING EVALUATOR SIGNATURE
:
DATE:
08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/25/2022
LIC809
(FAS) - (06/04)
Page:
11
of
11