197495539-3-11-2025-30-CC-ARIR-DENUQZ-20250311154754

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197495539
Report Date: 03/11/2025
Date Signed: 03/11/2025 03:49:51 PM

Document Has Been Signed on 03/11/2025 03:49 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	HAMID FAMILY CHILD CARE		FACILITY NUMBER:	197495539
ADMINISTRATOR/ DIRECTOR:	SAMINA HAMID		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 678-0129
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90505
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	03/11/2025
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:20 AM
MET WITH:	Samina Hamid, Applicant		TIME VISIT/ INSPECTION COMPLETED:	01:50 PM

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On 3/11/2025, Licensing Program Analyst (LPA), Adrian Risher conducted a pre-licensing inspection for a family child care home. LPA met with applicant Samina Hamid and toured the facility. The applicant and her daughter, Asma Farooqui were the only individuals present at the time of the inspection. LPA did not observe any children present. The home is clean, orderly and comfortable. All adults in the home have been fingerprinted and associated to the facility. Applicant's spouse has a pending criminal record clearance. The hours of operation will be 7am to 5pm Monday thru Friday. Applicant is requesting to have a family child care home with a capacity of 14. The fire clearance was approved on 01/22/2025 by Fire Inspector Luis Miranda.

The single family home is 4 bedrooms and 2 bathrooms. The daycare will consist of the living room, dining room, Room 1, Room 2, and Room 3. These areas were inspected by LPA. A safety latch needs to be attached Room 4's door in order to make it inaccessible to the children in care. Applicant is renting the home. Applicant provided property owner/landlord consent form with the application. The living room will be used for daily activities such as learning, games, playing and napping. The dining room will be used for eating. Room 1 and Room 2 are additional play spaces. Room 3 will be used as the infant nap room. The parents will enter home from the front entrance. LPA observed a safety gate at the entrance of the living room. Room 2 will serve as the isolation area. Cots and cribs will be used for napping.

LPA inspected the bathroom and did not observe any medications or poisons that could pose a potential risk to children in care. The kitchen was inspected during the visit. LPA did not observe any knives or sharp objects, detergents or cleaning supplies that would pose a potential risk to children in care. These items were made inaccessible to the children. Cleaning supplies are stored in the garage and the upper cabinets in the kitchen. Room 2 will be used as the isolation area for ill children.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025

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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HAMID FAMILY CHILD CARE	FACILITY NUMBER: 197495539
	VISIT DATE: 03/11/2025

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LPA observed age appropriate toys, furniture and activities for children while in care at the facility. The outside play area is located in the backyard. There are no bodies of water. The backyard is gated all around. LPA observed a play apparatus, play houses and a basketball hoop in the outside play area.

LPA observed a charged fire extinguisher (2-A:10-B:C). LPA tested the smoke detector and carbon monoxide detector. All electrical are inaccessible to children. Applicant has a first aid kit which includes band aids and a thermometer. The home has central heating and air. The fireplace in the living room is not properly screened.

Per the applicant, there are no firearms on the premises. Applicant reports that there are no pets in the home.

LPA did not observe any baby walkers, exersaucers or bouncers.

The parent board will be posted for parents to view required information such as the license, parent's rights poster, personal rights, and emergency disaster plan. A copy of the children's roster will be kept accessible.

Applicant has current CPR, first aid, health and safety which expires 08/2025. Applicant provided copies of immunization records and mandated reporter training has been reviewed and completed. These documents were provided with the application.

The following corrections were discussed with applicant in order for the home to be ready for conducting child care:

1. Place a screen on fireplace in the living room to make it inaccessible
2. Place a safety lock on Room 4's door to make it accessible
3. Applicant's spouse receives criminal record clearance
4. Remove the blue swing and white swing from the back yard
5. Provide a playground action plan- explain how the the dome apparatus will be monitored and what ages will be using this item

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025

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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HAMID FAMILY CHILD CARE	FACILITY NUMBER: 197495539
	VISIT DATE: 03/11/2025

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6. Place a cover on the air conditioning unit in the backyard
7. Place a gate on the left side of the home in the back yard to make the side of the home inaccessible

A license to operate a Large Family child care home will be issued following final administrative review and receipt of outstanding corrections needed. No license will be issued today 3/11/2025. Applicant will notify LPA when corrections have been made and the Applicant has 30 days to complete corrections.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

The applicant provided proof of control of property.

Because the applicant rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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 reviewed with applicant the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed applicant 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.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025

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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HAMID FAMILY CHILD CARE	FACILITY NUMBER: 197495539
	VISIT DATE: 03/11/2025

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LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed applicant 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.

On this date, 12/13/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant was informed of the MyChildCarePlan.org site, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the applicant Samina Hamid

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2025

LIC809 (FAS) - (06/04)

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