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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001805
Report Date: 01/10/2025
Date Signed: 01/10/2025 03:11:09 PM

Document Has Been Signed on 01/10/2025 03:11 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MOHAMED, MAGDAFACILITY NUMBER:
384001805
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 4CENSUS: 3DATE:
01/10/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH:Magda MohamedTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On January 10, 2025 at approximately 2:20pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Magda Mohamed, and explained the purpose of the visit. Present during LPA's visit included licensee, licensee's spouse and 3 infant children. Licensee is operating within capacity limits and ratio during LPA's visit.

Licensee lives in the multi-level home with their spouse and adult child. All adults living in the home have fingerprint clearance on file. Hours of operation are Monday through Friday: 8:00am to 5:30pm.

With licensee, LPA inspected day care areas for health and safety hazards. The DAY CARE AREAS are the living room/dining area, bathroom #1 (located on entry level of home), and bedroom #1 (napping room only located on lower level of home). The OFF LIMITS AREAS are the kitchen, balcony, detached garage and all bedrooms located on the lower level of the home. LPA observed off limit bedrooms to be made inaccessible with a child safety door handle. LPA observed off limit kitchen and balcony to be made inaccessible with a child safety gate. Access to detached garage requires a remote control. LPA observed stairs in the home to made inaccessible with a child safety gate.

Home includes a variety of toys that are in good condition. Children's furniture and materials were observed to be age appropriate. Flooring in the home includes carpet and soft padding that are clean and free of stains. LPA observed electrical outlets to be made inaccessible with child safety covers. LPA did not observe any accessible cleaning solutions or poisons in day care areas.

Hallway bathroom for children's use was observed to be in working condition. LPA observed cabinets in bathroom to have child safety locks installed. All children enrolled are currently in diapers. Children's families provide diapers and wipes to licensee's home. LPA observed diapers and wipes to be labeled with children's names or initials. LPA observed a garbage bin with a tight fitting lid in the home.

Home is equipped with multiple fully charged fire extinguishers and a smoke/carbon monoxide detector. Carbon monoxide detector was tested during LPA's visit and was observed to be in working condition.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MOHAMED, MAGDA
FACILITY NUMBER: 384001805
VISIT DATE: 01/10/2025
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Day care area bedroom is used for napping only. LPA observed cribs do not hinder the entrance or exit to room. LPA observed cribs to be free of loose articles and materials. LPA did not observe any materials hanging on the outside of the cribs. Licensee maintains a sleeping log for each napping infant. LPA observed sleeping logs document every 15-20 minutes of when the infant is checked on. Sleeping log includes the napping infant's name, sleeping position, and licensee's initials. LPA reviewed sleeping logs from November 2024 to today's date.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/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.

Patio is made inaccessible to children with a child safety gate. LPA did not observe any pools, spas or bodies of water on site. Licensee provides a food service that includes breakfast, lunch and late snack.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

LPA reviewed facility records that included 4 children's records. Children's records include emergency information. Licensee's CPR/First Aid certification is current and will expire 08/2026. Licensee's Mandated Reporter certification is also current and will expire 08/2025. Licensee maintains a childcare roster that was made for LPA's review during visit. Emergency disaster drills are conducted and documented. Last disaster drill was conducted 10/02/2024. Next disaster drill is scheduled for April 2025.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MOHAMED, MAGDA
FACILITY NUMBER: 384001805
VISIT DATE: 01/10/2025
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee, Magda Mohamed, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No deficiencies were issued during today's visit.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Magda Mohamed.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
LIC809 (FAS) - (06/04)
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