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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500362
Report Date: 06/20/2022
Date Signed: 06/20/2022 12:14:03 PM

Document Has Been Signed on 06/20/2022 12:14 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:RAHEEL, BEENISHFACILITY NUMBER:
394500362
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
06/20/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Beenish RaheelTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Christopher Jackson met with licensee Beenish Raheel for the purpose of a Capacity Increase from 8 to 14 children. LPA Jackson toured all areas of the home two story home that are accessible to children, today’s census included six children in care. Also present during today’s inspection was applicants husband, who has been finger print cleared through Community Care Licensing. Licensee stated there are no new residents in the home since licensure.

Off-limit areas include: Entire second floor, laundry room, pool area and Garage. Licensee acknowledged that children may never enter these off-limit areas. LPA observed a current fire drill log. The Fire Safety Inspection Clearance has been received from the Manteca Fire department, on 05/31/22 and the home has been cleared for up to 14 children.

LPA observed cleaning supplies properly stored out of reach of children. LPA observed medications out of reach of children. Fireplace is covered. Licensee stated there are no weapons in the home. Fire extinguisher (3A40BC), smoke detector, and carbon monoxide meet regulation. The backyard is fenced and has a pool. The pool is surrounded by fencing that meets regulation and there are no windows or doors that provide direct access to the pool area. LPA checked gate to be self-closing and latching. Licensee understands that prior to making alterations or additions to the home or grounds, the licensee shall notify the Department of the proposed changes.

Large family child care home capacity limitations were reviewed during today's visit. Licensee acknowledges that when there is no assistant present, facility will revert back to the small capacity. Licensee acknowledges that children residing in the home under the age of 10 years shall be included in capacity

Report continues on 809-C
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Christopher Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2022
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: RAHEEL, BEENISH
FACILITY NUMBER: 394500362
VISIT DATE: 06/20/2022
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LPA observed a current CPR/First Aid certificate Exp 10/2023. LPA reviewed children’s files and observed they contained emergency contact information and signed Notifications of Parents’ Rights. LPA discussed safe sleep regulations and LPA advised licensee of their responsibility to stay current in regards to new regulations. LPA advised licensee to visit the licensing website at http://www.ccld.ca.gov for current forms, laws, regulations and legislation. LPA also included the email address for the children's advocacy program to stay current on new laws childcareadvocatesprogram@dss.ca.gov.

Effective today, 06/20/22, LPA is granting a license to serve 12 children (when there is an assistant present) with no more than 4 infants or capacity of 14 children when 1 child in transitional kindergarten or elementary school and 1 child at least age 6 and a maximum of 3 infants. Infants are children under the age of 2 years old.

Exit interview conducted and report was reviewed with the licensee's. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Christopher Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022
LIC809 (FAS) - (06/04)
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