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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628691
Report Date: 10/16/2023
Date Signed: 10/16/2023 04:34:23 PM

Document Has Been Signed on 10/16/2023 04:34 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:YUSUF, ADAM & LIBAN, HAWO FAMILY CHILD CAREFACILITY NUMBER:
376628691
ADMINISTRATOR:A YUSUF & H LIBANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 717-7744
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
10/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Hawo LibanTIME COMPLETED:
04:40 PM
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On October 16, 2023, at 2:15PM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with co-licensee spouse, Hawo Liban. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Ms. Liban speaks and understands some English but was able to sufficiently communicate with analyst during today's inspection. Only Ms. Liban and her own five children were present in the facility during this inspection. Ms. Liban advised analyst that she has four other children enrolled in her day care who are her nieces and nephews who attend at various dates and times but were not present during this visit. This facility is a one floor, four bedroom, two bathroom house/apartment. Licensee accompanied LPA inside and out of the facility during this inspection.

The following areas used for child care are: the kitchen, the living room, the third and fourth bedrooms and the second bathroom. The fourth (or back) bedroom is currently set up as a day care room. Off limits areas are the first two bedrooms, the first bathroom and the garage. The off limits bedrooms and bathroom are made that way with door knob covers that are installed on their respective door handles. The garage is made off limits with a locking door handle and a highly placed latch and bolt. The home has wall heating units that the licensees state are inoperable. However, licensees understand that if they ever are made operable, the heaters are to be made inaccessible to day care children with the installation of safety gates or other security devices.

The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensees have sufficient toys and equipment available. The home has a fenced backyard available for outdoor activities. The licensee states that the children primarily play in the concrete portion of the yard. Licensees will provide direct supervision whenever day care children are playing in the backyard. No bodies of water observed on the premises during the inspection. Licensee 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.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2023
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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: YUSUF, ADAM & LIBAN, HAWO FAMILY CHILD CARE
FACILITY NUMBER: 376628691
VISIT DATE: 10/16/2023
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Co-licensee Liban's First Aid and CPR certifications expire on 05/16/25. Licensee has required immunizations. Licensees are currently exempt from Mandated Reporter Training as English is not their primary language. Facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented in July of 2023. Licensee currently has no day care infants but analyst provided her with a copy of the safe sleep regulations for her to review at a future date.

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.

No deficiencies were cited during today's visit.

An exit interview was conducted with the licensee. The licensee was 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 licensee was advised it must be posted at the facility for 30 days.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023
LIC809 (FAS) - (06/04)
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