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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304310673
Report Date: 05/01/2024
Date Signed: 05/01/2024 03:24:05 PM

Document Has Been Signed on 05/01/2024 03:24 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:AKMAL, NADIAFACILITY NUMBER:
304310673
ADMINISTRATOR/
DIRECTOR:		AKMAL, NADIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 603-7502
CITY:ANAHEIMSTATE: CAZIP CODE:
92805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
05/01/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:06 PM
MET WITH:Nadia AkmalTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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On 5/1/2024, Licensing Program Analyst (LPA) A. Silva conducted a Case Management – Other to follow up on the licensee’s expressed desire to go inactive or close the daycare and to conduct a second pool check. Upon arrival, the LPA met with Nadia Akmal. An on-site Facility Personnel Report Summary review indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions except Brenda Lopez. Census 2 children including one infant under 24 months. The facility was operating within ratios and capacity.

The licensee explained that she did not have any children. The LPA explained that any child under 10 years of age in the home counts as part of the ratio and as a daycare child. During the visit, the LPA learned that visitor Brenda Lopez was not cleared to be in the daycare. The LPA observed Brenda providing care and supervision to two one infant and one child under ten years of age. According to CRR 102370 All individuals subject to a criminal record review … shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance (See 809D).

During the visit, the LPA observed the pool was surrounded by a fence that did not meet the regulation. A section of the fence was damaged, providing access to the pool. One section of the fence was torn and another section was hanging lower than the required height. The damaged sections were closest to the wall adjacent to W. Wilhelmina St. There is a window and a side entrance into the back yard that make the pool accessible … by surrounding the pool with a fence. Per CCR 102417(g)(5) All licensees shall ensure the inaccessibility of pools Operation of a Family Child Care Home (See 809D).

The LPA discussed ratios and background clearance with the licensee. The licensee was informed about the difference between an inactive license and a closed license.

CONTINUE ON NEXT PAGE.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 05/01/2024 03:24 PM - It Cannot Be Edited


Created By: Archibaldo Silva On 05/01/2024 at 02:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: AKMAL, NADIA
FACILITY NUMBER: 304310673

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/02/2024
Section Cited
CCR
102370(d)(1)

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102370(d)(1) Criminal Record Clearance. All individuals subject to a criminal record review ... shall prior to working, residing, or volunteering in a licensed facility... Obtain a clearance or a criminal record exemption. The licensee did not meet this requirement:
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licensee surrendered the license
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Based on observation, the licensee did not meet the regulation above in one of three adults present in the home. LPA obaserved Brenda Lopez providing care and supervision to one infant and one child.
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Type A
05/02/2024
Section Cited
CCR102417(g)(5)

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102417(g)(5) Operation of a Family Child Care Home. The home shall be free from defects or conditions which might endanger a child. All licensees shall ensure the inaccessibility of pools ... by surrounding the pool with a fence. The licensee did not meet the regulation as evidenced by:
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licensee surrendedred the license
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Based on observation...
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Patricia Magana
LICENSING EVALUATOR NAME:Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2024


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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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: AKMAL, NADIA
FACILITY NUMBER: 304310673
VISIT DATE: 05/01/2024
NARRATIVE
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Based on observation, the facility is being cited in accordance with the California Code of Regulations, Title 22, Division 12, for the following section: 102370(d)(1) Criminal Record Clearance and 102417(g)(5) Operation of a Family Child Care Home.

Before the LPA finalized the visit, the licensee voluntarily surrendered the license. The LPA was kindly asked to leave. The visit was terminated and the LPA exited the property immediately. A copy of the report was emailed to Nadia Akmal to the email on records.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024
LIC809 (FAS) - (06/04)
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