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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629597
Report Date: 08/08/2023
Date Signed: 08/08/2023 11:49:08 AM

Document Has Been Signed on 08/08/2023 11:49 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:NDIKUMANA, ESTELLA & WARSAME, ABDIRISAK FCCFACILITY NUMBER:
376629597
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
08/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Estella Ndikumana and Abdirisak WarsameTIME COMPLETED:
11:55 PM
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On 08/08/23 at 10:00AM, LPA Luigi Gargaro, conducted an unannounced capacity increase visit with the applicants, Estella Ndikumana and Abdirisak Warsame. The one story, four bedroom, two bathroom home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher and smoke and carbon monoxide detectors meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. Analyst inquired of the applicants about whether there were any bodies of water or weapons in the home and they replied no. 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. The home appears to be large enough to comfortably accommodate up to 14 children. Fire clearance was received on 07/20/23 from the San Diego Fire Department. First Aid and CPR certifications expire in November of 2024 for Ms. Ndikumana and 08/06/24 for Mr. Warsame.

Applicants will be using the following rooms for childcare: the kitchen, the living room, the first bedroom (bedroom #1) and the day care bathroom. The master bedroom (bedroom #4) was previously an off limits room but applicants state that they would like to make it for use as an additional day care room when needed. Analyst inspected the room today and found it to be safely childproofed. Applicants may use the room at their discretion but were reminded that the childproofing and regulation safety requirements must always continue to be met while it is a for use room. The following areas will be off limits: the remaining two home bedrooms and the second bathroom. Bedrooms #2 and #3 are made off limits with locking door handles and applicants understand they are to be closed and locked whenever day care children are present. The second bathroom is made off limits with a door knob cover that is installed on its door handle. The applicants have sufficient toys and equipment available.

The home has a fenced backyard. It is currently unavailable for outdoor activities as it is being renovated by the landlord. Children are being taken to a local park for outdoor activities while the yard work is being completed. The co-applicants state that the yard work will be completed in the next few weeks. Analyst advised them that once the yard work is finished, they can send him photos to review to confirm it is ready for use. As the yard has a big vegetable garden and is open and leads into the front yard/driveway where automobiles may be kept, analyst advised that once it is again available for use, direct supervision must be used at all times to ensure that day care children are playing primarily in the day care patio area and do not wander into the front yard area.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2023
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: NDIKUMANA, ESTELLA & WARSAME, ABDIRISAK FCC
FACILITY NUMBER: 376629597
VISIT DATE: 08/08/2023
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 The applicants have a wall heating unit that they attest will not be used during day care hours and, if it is ever turned on for use, will have to have a safety gate or other security device installed to make it inaccessible. The applicants have a washer that is in an alcove near the fourth home bedroom and understand that all detergents and/or other cleaning products must be kept in inaccessible areas at all times.

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. LPA and licensee discussed California Megan's Law and he provided licensee with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis. Unusual Incident Reports may be e-mailed to: SDIncidentReports@dss.ca.gov.

The following information was reviewed with the applicant: information on reporting requirements for suspected child abuse and unusual incidents, children’s records, immunizations, adults living or working in the home and related civil penalties, shaken baby syndrome, and SIDS. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, bouncy seats and jumpers are not allowed in day care.

The home appears to be in sufficient compliance and as no corrections are needed, a license for 14 will be issued effective today. Analyst printed a copy of the Notice Of Site Visit today and had applicants place it in their facility notice area before he left the home.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2023
LIC809 (FAS) - (06/04)
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