198400827-1-26-2024-54-CC-AWAN-CZUT3R-20240126132247

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400827
Report Date: 01/26/2024
Date Signed: 01/26/2024 01:23:06 PM

Document Has Been Signed on 01/26/2024 01:23 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	RASHEED FAMILY CHILD CARE		FACILITY NUMBER:	198400827
ADMINISTRATOR:	RASHEED, MAISHA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 209-6922
CITY:	RANCHO DOMINGUEZ	STATE: CA	ZIP CODE:	90220
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	01/26/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Applicant, Maisha Rasheed		TIME COMPLETED:	01:30 PM

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	On 1/26/2023 at 10:00 am, Licensing Program Analyst (LPA) Angelica Wallin and Licensing Program Manager (LPM) Karen Chambers conducted an announced Pre-Licensing inspection. The purpose of the visit was to ensure that health, safety and personal rights, as required by Title 22 Regulations governing California Family Child Care Homes, will be met by applicant, Maisha Rasheed. Applicant applied for a Large Family Child Care Home with maximum capacity of fourteen children. LPAs met with applicant and was guided on a tour of the home, indoor and outdoor. LPA discussed residents in the home. Applicant's home is a one story three-bedroom, two-bathroom home with a living room, dining room, laundry room, den, kitchen, front and back yard with covered patio and two outdoor shed. The primary childcare area of the home shall be in the living room, dining room, kitchen, den (to also be used as an isolation room), covered patio space and outdoor right side yard. Areas off limits include: outdoor left side of yard, 3 bedrooms and 1 master bathroom. LPA observed 3 off-limits bedrooms do not have secure measure to make off-limits. LPA inspected the living room and noted space with age-appropriate toys. LPA observed fireplace located in den barricaded by dog and cat crates. Per applicant, fireplace is not in use and disconnected. LPA informed applicant that fireplace needed to have tag stating it is disconnected and secure barrier. LPA observed kitty litter located in gray tub by fireplace. LPA advised for kitty litter to be relocated to off-limits area. Per applicant, animals in the home include one dog and one cat. LPA observed dog kept in dog crate in front of fire place. LPA observed cat located in cat tree in den. LPAs advise animals need to be kept in off-limit areas away from children in care. LPAs observed knives and cutlery located on kitchen counter easily accessible. LPA stated cutlery needed to be made inaccessible to children in care. LPA observed insulin medications located in fridge and other medications located in off-limits master bathroom. LPA advised medications stored in refrigerator to be locked and made inaccessible. LPA observed 2 dips in laminated flooring in den and kitchen causing potential tripping hazard.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RASHEED FAMILY CHILD CARE	FACILITY NUMBER: 198400827
	VISIT DATE: 01/26/2024

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LPA observed shampoos and soap in shower in bathroom used by children in care. LPA advised applicant that shampoos and soap shall be made inaccessible.

LPAs observed working smoke detector in den area and carbon monoxide detector in living room. LPAs observed two 2A10BC fire extinguishers. One in living room and one in laundry room. Per applicant, fire extinguishers were purchased in July 2023 and in operable condition. LPAs observed laminated receipts of purchase and confirmed purchase date. The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. LPA observed cleaning supplies locked under the sink. LPA advised applicant to consider using locks that are appropriate for age of children in care. LPA observed closet in living room without lock. Per applicant, closet to have deadbolt lock on it. According to the applicant, there are no weapons or firearms at the home; LPA did not observe any firearms or weapons at the time of the inspection.

Per applicant, the outdoor play area shall be conducted in the covered patio and in front side yard. LPA observed playhouse structure, wooden slide structure and gated play area with cushioning in covered patio area. Per applicant, items used for ball pit are to be used for special occasions. LPA advised that cushioning should be placed under wooden slide and all items to be stored in shed or donated to be removed. LPA observed shutters in front covered patio need to be cleaned. LPA observed the following items in off-limits left side yard: lighter fluid, B-Gone chemical bottles, debris and shed without lock. Per applicant, items to be placed in shed and unlocked shed to be fixed with new lock. LPA advised for all hazardous items to be made inaccessible. LPA observed right side yard to be used as additional outdoor space. LPA noted grill located behind shed. Per applicant, grill is used. LPA advised for grill to be covered or made inaccessible. LPA noted walkway tiles and hardware items placed along side of home. LPA advised for items to be removed for clear walkway. LPA did not observe bodies of water on the facility. LPAs advised applicant that supervision to be maintained at all times during outdoor play.

During inspection, LPA observed unclear male adult, A1, present in the home. Per applicant, A1 is visiting for the day and will not be present during operating hours. LPA informed applicant 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.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RASHEED FAMILY CHILD CARE	FACILITY NUMBER: 198400827
	VISIT DATE: 01/26/2024

NARRATIVE

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Per applicant file review, a review of staff records indicates that applicant has updated pediatric CPR/First Aid certificate with expiration date of 6/2025, updated mandated reporter certificate with expiration date of 7/2025, completed health and safety orientation with lead and nutrition component dated 6/24/23 and updated immunization records on file for measles, pertussis, TB clearance and a declination of the influenza vaccine. 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.

The 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.

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) 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 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-andresources/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: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RASHEED FAMILY CHILD CARE	FACILITY NUMBER: 198400827
	VISIT DATE: 01/26/2024

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On 10/3/2023, 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-carelicensing/subscribe and select the Child Care option to receive email communication.

Incident/Injury Reports to be called in within 24 hours of incident to our office number at 323-981-3350 and the LIC624 wirtten report to be emailed to [email protected] within 7 days of contact call.

Applicant to address the following prior to licensure to ensure safety at all times:
· All hazardous items in outdoor areas: debris, hardware items, cleaning solutions and chemicals to be removed and or made inaccessible
· Grill to be covered, shutters to be cleaned, shed in left side yard to be locked
· Slide located in the front covered patio to have cushioning underneath
· Cushioning under contained play area to be cleaned
· All items stored in covered patio area to be removed and or made inaccessible
· Shampoos and soap in the bathroom used by children in care to be removed and made inaccessible
· Cutlery in kitchen to be made inaccessible, kitty litter box to be made inaccessible
· Fireplace to have disconnected tag and have secure barrier
· 2 dips in flooring in kitchen and den to be fixed

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RASHEED FAMILY CHILD CARE	FACILITY NUMBER: 198400827
	VISIT DATE: 01/26/2024

NARRATIVE

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Applicant to address the following prior to licensure to ensure safety at all times (Continued):
· Medications in the fridge and master bathroom to be locked and made inaccessible
· Closet in the living room to have secure lock, off-limits bedrooms to have secure lock
· Unclear male adult to be fingerprinted

Items to be completed by Monday 2/26/24 with picture proof of corrections to be submitted via email. Exit interview conducted and report was reviewed with the applicant, Maisha Rasheed.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024

LIC809 (FAS) - (06/04)

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