Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376620252
Report Date: 06/12/2018
Date Signed: 06/12/2018 11:41:28 AM

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:WARSAME, ABDIKARIM FAMILY CHILD CAREFACILITY NUMBER:
376620252
ADMINISTRATOR:ABDIKARIM WARSAMEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 262-1551
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:14CENSUS: 0DATE:
06/12/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Abdikarim WarsameTIME COMPLETED:
11:45 AM
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LPA, Luigi Gargaro, conducted an unannounced inspection with the licensee. The home was toured and inspected to ensure an environment safe for the care and supervision of children per the standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Present were the licensee and no day care children. The fire extinguisher and combination smoke and carbon monoxide detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water or weapons in the home. A review of staff records on this date indicates that all adults or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The licensee's and his mother helper's First Aid and CPR certifications expire at the end of July 2018. Children’s records were reviewed and all were in order.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for child care include the kitchen, the dining area, the living room, the family room and the day care bathroom. Off limits areas include the garage and the entire upstairs. The garage is inaccessible through use of a door knob cover. The upstairs is made inaccessible with a child safety gate that is installed when day care children are present. The licensee has sufficient day care equipment available. The home has a fenced backyard that is off limits. The yard is made off limits with a latching sliding patio door. The door also has a safety alarm installed on it to further prevent children from accessing the off limits yard. Licensee instead takes children to a local park for outdoor activity whenever it is needed.

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

The home appeared to be in substantial compliance today and no violations were cited. Analyst printed a copy of the Notice Of Site Visit today and had licensee place it in his facility notice area before he left the home.
SUPERVISOR'S NAME: Carl SheltonTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2018
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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