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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628578
Report Date: 01/10/2024
Date Signed: 01/10/2024 05:34:48 PM

Document Has Been Signed on 01/10/2024 05:34 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:NAGHIYE, RAMLA & AHMED, FARDOWSA FAMILY CHILD CAREFACILITY NUMBER:
376628578
ADMINISTRATOR:R. NAGHIYE/F. AHMEDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 648-9797
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 0DATE:
01/10/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH:Ramla NaghiyeTIME COMPLETED:
05:45 PM
NARRATIVE
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On January 10, 2024, at 2:55PM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the co-licensees, Ramla Naghiye and Fardowsa Ahmed. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensees. Only the co-licensees and no day care children were present in the facility during this inspection. Co-licensees stated that they are only currently providing care for children on Saturdays and Sundays and have a total of 13 day care children enrolled in the facility. This facility is a one floor, three bedroom, two bathroom house. Licensees accompanied LPA inside and out of the facility during this inspection.

The following areas used for child care are: the kitchen, the dining area, the living room, the family room as the primary day care room and the first home bathroom. The dining and living room are primarily used as pass through areas to get to the main day care room but analyst inspected them and found them to safely child proofed today. Licensees may use the rooms at their discretion but understand that they must continue to keep them child proofed if the rooms are accessible to children. Off limits areas are the three home bedrooms with one inclusive bathroom in the master bedroom and the garage. The bedrooms are made inaccessible through use of a combination of door knob covers or locking door knobs and the garage is made off limits with a door lock and sliding bolt.

The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensees have sufficient day care equipment and materials available. The home has a fenced backyard available 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.

Licensee Naghiye's First Aid and CPR certifications expire on July 5, 2025. Licensees have the required immunizations. Licensee Naghiye is exempt from Mandated Reporter training while licensee Ahmed completed it in June of 2022. The last fire and disaster drills were conducted and documented on 04/04/22.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2024
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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Document Has Been Signed on 01/10/2024 05:34 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 01/10/2024 at 04:09 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: NAGHIYE, RAMLA & AHMED, FARDOWSA FAMILY CHILD CARE
FACILITY NUMBER: 376628578

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)(B)
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: Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst record review, the licensees did not comply with the section cited above as they have not been keeping a safe sleep log for the one infant they have in care which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 01/22/2024
Plan of Correction
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Licensees stated they were unaware of the Safe Sleep Log requirement but will keep a log from this point going forward. Analyst provided them with a sample safe sleep log and licensees state that they will send LPA a copy of a completed log for the one infant they have in care on weekends for the period between 01/10/24 - 01/21/24 to analyst by 01/22/24 to complete the correction.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: 01/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2024


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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NAGHIYE, RAMLA & AHMED, FARDOWSA FAMILY CHILD CARE
FACILITY NUMBER: 376628578
VISIT DATE: 01/10/2024
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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 providers have not been physically checking on sleeping infants every 15 minutes. Licensees currently do not have any infants under 12 months of age so no Individual Infant Sleeping Plan [LIC 9227 (3/20)] is on file or required. The provider places infants up to 12 months of age on their backs for sleeping whenever she has that age group enrolled in her day care.

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.

One type B violation California Code of Regulations, (Title 22, Division 12 & Chapter 3), is being cited on the attached LIC 809-D.

An exit interview was conducted with the co-licensees. The licensees were provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024
LIC809 (FAS) - (06/04)
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