Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626458
Report Date: 03/16/2017
Date Signed: 03/16/2017 10:15:44 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:HAMMO, SILVANA FAMILY CHILD CAREFACILITY NUMBER:
376626458
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
03/16/2017
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:13 AM
MET WITH:Silvana HammoTIME COMPLETED:
10:27 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA), Richard Gumienny made an unannounced case management inspection. Purpose of the visit is for a capacity increase and to ensure that the home is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3. Met with Licensee, Silvana Hammo. Licensee was supervising 3 day care child during the inspection, none of whom were under 24 months of age. Licensee stated that there are no new adults living or working in the home over the age of 18 years. Licensee acknowledged that she resides in the home. A review of staff records on 3/16/17 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances and T.B. test results prior to working and/or residing in the home. Licensee and staff records were reviewed. Licensee currently operates M-F, 6:00am - 10:00pm. Licensee has CPR/FA valid through 7/2017.
A fire clearance was granted on 3/9/2017 for a capacity of 14. This single level, 3 bedroom, 2 bathroom home was inspected. The entire home may be used for day care including the 3 bedrooms, 2 bathrooms, living room, kitchen, dining room, and fully fenced back yard area. The garage is off limits and made inaccessible to children with door knob cover and lock. There is an operational smoke alarm and fire extinguisher as well as carbon monoxide detector. The home has a properly barricaded fire place in the living room. There are ample space, toys, and napping areas for children as well as cots. The home has adequate heating and ventilation. Licensee stated that the front yard area is not used for day care. Licensee reminded that visual supervision is required during all outdoor activities. Licensee stated that there are no weapons on premises. LPA observed no bodies of water on premises. The back yard area had grass which was in need of cutting. LPA walked throughout the grass area and found no hazardous items. The proper forms were posted. Reviewed children files which were found to be complete. LPA obtained copy of current roster. Last disaster drill was conducted and documented on 1/15/2017.
LPA reviewed the following with Licensee: Capacity limitations, supervision, unusual incidents, mandated reporting, Assembly Bill 633, SIDS, Shaken Baby Syndrome, Megan's law. Licensee is reminded that corporal punishment, smoking, baby walkers, exer-saucers, jumpers and bouncy seats shall never be
SUPERVISOR'S NAME: Debbie HanesTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Richard GumiennyTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2017
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 2


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: HAMMO, SILVANA FAMILY CHILD CARE
FACILITY NUMBER: 376626458
VISIT DATE: 03/16/2017
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
permitted during day-care operation.

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

Licensee is currently part of the A.K.A. Head Start program.

Upon completion of the following and final review, a license may be issued for the following capacity:

MAX. CAP. WHEN THERE IS AN ASSISTANT PRESENT: 12 - NO MORE THAN
FOUR INFANTS. CAP. 14 - NO MORE THAN 3 INFANTS. 1 CHILD IN
KINDERGARTEN OR ELEMENTARY SCHOOL AND 1 CHILD AT LEAST 6 YEARS OLD.

1. Provide photo of cut grass in the back yard.


Licensee was advised that upon receipt of a type “A” deficiency, Licensee shall post and provide copies of the licensing report to parents/guardians of children in care at the facility and to parents/ guardians of children newly enrolled at the facility during the next 12 months.


Licensee was provided appeal rights (LIC9058 12/15) and their signature on this form acknowledges receipt of these rights. Exit interview conducted. www.ccld.ca.gov
SUPERVISOR'S NAME: Debbie HanesTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: Richard GumiennyTELEPHONE: (619) 767-2209
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2017
LIC809 (FAS) - (06/04)
Page: 2 of 2