<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376100134
Report Date:
10/28/2021
Date Signed:
10/28/2021 11:33:51 AM
Document Has Been Signed on
10/28/2021 11:33 AM
- It Cannot Be Edited
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:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
ADMINISTRATOR:
RANEEN ABLAHAD
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(619) 212-9852
CITY:
LAKESIDE
STATE:
CA
ZIP CODE:
92040
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
1
DATE:
10/28/2021
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
09:00 AM
MET WITH:
Raneen Ablahad
TIME COMPLETED:
11:45 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
On 10/28/21 @ 9:00AM, LPA Nancy Diaz conducted an unannounced inspection. LPA met with Raneen Ablahad. One child arrived at 9:25AM. Observed present today was one child. A tour of the home was conducted. The following areas are accessible to children living room, dining, kitchen, hallway bathroom, bedrooms #1 & #2 and back fenced yard. Facility operates 7 days a week/24 hours. The licensee was present in the home to ensure that all children are supervised at all times. Facility is within capacity and did not exceed the capacity specified on the license.
Licensee do not maintain any bodies of water. Mrs. Ablahad stated that she does not maintain weapons.
Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored appropriately and inaccessible to children.
Fire place is covered to prevent access by children.
Fire extinguisher and smoke detectors meet State Fire Marshall standards. The carbon monoxide detector present in the home meet the standards established in Chapter 8 of Part 2, Division 12. Home is kept clean and orderly with heating and ventilation for safety and comfort. There was no barricade in the backyard to keep children from accessing the stairs from the patio area. Licensee provide safe toys, play equipment and materials. The home maintains a working telephone service.
CONTINUED
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
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
11
Document Has Been Signed on
10/28/2021 11:33 AM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
10/28/2021
at
10:27 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
10/28/2021
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above.
- There is a wooden panel with a nail sticking out stored on top of the play area that is accessible to children.
- There is a pole that poses a tripping hazzard to children at play.
These conditions poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will not allow children in the yard until she removes the hazards. I will remove the pole and wooden panel by end of today.
Type B
Section Cited
CCR
102417(g)(3)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (3) Where children are less than five years old are in care, stairs shall be fenced or barricaded.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above:
- There is no barricade installed at the bottom of the stairs in the play are that leads to the patio area. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
I will install a barricade to the bottom of the stairs that lead to the patio area no later than 11/8/2021. I will not allow children in the yard until correction is completed.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
LIC809
(FAS) - (06/04)
Page:
2
of
11
Document Has Been Signed on
10/28/2021 11:33 AM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
10/28/2021
at
10:27 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
10/28/2021
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(1)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in two of the children in care. Mrs. Ablahad did not physically check on the infants every 15 minutes. She stated that she currently check on sleeping infants 30-40 minutes. She stated that she was not aware of the new safe sleep regulation. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
LPA provided Ms. Ablahad a sample of the infant sleep log. She stated that she will start checking on infants every 15 minutes and maintain a log.
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review], the licensee did not comply with the section cited above in two infants that she is currently caring for. Mrs. Ablahad did not maintain a log of napping infants. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
She will submit a sample of the infant nap log to the LPA no later than 11/8/2021.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
LIC809
(FAS) - (06/04)
Page:
3
of
11
Document Has Been Signed on
10/28/2021 11:33 AM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
10/28/2021
at
10:27 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
10/28/2021
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)(A)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Labored breathing.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in two of the infants in care. Ms. Ablahad did not check for labored breathing. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will submit a sample 15-minute napping log no later than 11/8/2021. She will note if the child had labored breathing.
Type B
Section Cited
CCR
102425(j)(2)(B)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in two infants in care. Ms. Ablahad did not check for signs of distress as often as possible. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will submit a sample 15-minute napping log no later than 11/8/2021. She will note any distress to a child who is napping.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
LIC809
(FAS) - (06/04)
Page:
4
of
11
Document Has Been Signed on
10/28/2021 11:33 AM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
10/28/2021
at
10:27 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
10/28/2021
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in two of her helpers -Virginia Dawood & Heleen Yousif. Both staff did not complete a training on Mandated Reporter Training. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will have her two staff complete the training no later than 11/8/2021. Mandated reporter training is located: mandatedreporterca.com. Ms. Ablahad will submit proof of completion to the department no later than 11/8/2021.
Type B
Section Cited
HSC
1596.8662(c)
Administration of Child Day Care Licensing
(c) Current proof of completion for each licensed child day care provider or applicant for that license, administrator, and employee of a licensed child day care facility shall be submitted to the department upon inspection of the child day care or upon request by the department.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 2 of her helpers - Virginia Dawood & Heleen Yousif. This posesd a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will submit proof of correction to the department no later than 11/8/2021.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
LIC809
(FAS) - (06/04)
Page:
5
of
11
Document Has Been Signed on
10/28/2021 11:33 AM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
10/28/2021
at
10:27 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
10/28/2021
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 2 of her helpers - Virginia Dawood & Heleen Yousif. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will obtain staff immunization record and submit to the department no later than 11/8/21.
Type B
Section Cited
CCR
102416.1(a)
Personnel Records
(a) Personnel records shall be maintained on each employee and shall contain the following information:
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 2 of her helpers - Virginia Dawood & Yousif Heleen. This posesd a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will obtain a generic "job application" and have her 2 staff complete it.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
LIC809
(FAS) - (06/04)
Page:
6
of
11
Document Has Been Signed on
10/28/2021 11:33 AM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
10/28/2021
at
10:27 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
10/28/2021
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.1(a)(10)
Personnel Records
(a) Personnel records shall be maintained on each employee and shall contain the following information: (10) A signed and dated copy of the Notice of Employee Rights [LIC 9052, (Rev. 03/03)] as required by Section 102416(a) and Section 102417.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in two of her helpers - Virginia Dawood & Heleen Yousif. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will have her 2 staff - Virginia Dawood & Heleen Yousif sign form LIC 9052 and have copies submitted to the department by 11/8/21.
Type B
Section Cited
CCR
102416.1(a)(11)
Personnel Records
(a) Personnel records shall be maintained on each employee and shall contain the following information: (11) A signed statement regarding their criminal record history as required by Section 102370(c).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 2 of her helpers - Virginia Dawood & Heleen Yousif. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will obtain form LIC 508 and have both helpers sign form. Copies to be submitted to the department no later than 11/8/21.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
LIC809
(FAS) - (06/04)
Page:
7
of
11
Document Has Been Signed on
10/28/2021 11:33 AM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
10/28/2021
at
10:27 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
10/28/2021
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.1(d)
Personnel Records
(d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 2 of her helpers. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will obtain all her personnel records and have them available for review.
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 2 of her helpers - Virginia Dawood & Heleen Yousif. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad will obtain staff immunization record and submit copies to the department no later than 11/8/2021. Immunization record shall include pertussis, measles and influenza.
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
LIC809
(FAS) - (06/04)
Page:
8
of
11
Document Has Been Signed on
10/28/2021 11:33 AM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
10/28/2021
at
10:27 AM
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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
10/28/2021
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 2 infants in care. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
11/08/2021
Plan of Correction
1
2
3
4
Ms. Ablahad was provided a copy of LIC 9227. She will meet with the parents of the two infants and complete the plan. Copies of the plan will be submitted to the department no later than 11/8/2021.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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:
Tashima Daniel
LICENSING EVALUATOR NAME:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
LIC809
(FAS) - (06/04)
Page:
9
of
11
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:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
VISIT DATE:
10/28/2021
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
There is a play yard for each infant who is unable to climb out of the crib or play yard. The play yard was observed to be free from all loose articles and objects. Bumper pads are not used. There are no objects hanging above or attached to the side of the crib. Infants are not swaddled while in care. Infants are supervised while they sleep. The provider was not aware of the new safe sleep regulations. She did not check on sleeping infants every 15 minutes. Documentation are not maintained in the infant’s file. Ms. Ablahad did not maintain an individual infant sleeping plan (LIC 9227) for each infant up to 12 months of age. Ms. Ablahad did not maintain a log of umentation of infant napping infants.
LPA discussed the safe sleep regulations with licensee [or facility representative] 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 Ms. Ablahad 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.
Car seats are only used for transportation purposes and not used for sleeping. Infants are supervised while they sleep.
The outdoor play area is fenced. An isolation area has been designated for children who became ill during the day.
Children’s records were reviewed. Licensee maintains a copy of the emergency information card that contains all of the information specified by the regulation.
Ms. Ablahad did not maintain staff records for her helpers. Licensee’s CPR and First aid is valid thru 11/30/2021. Mrs. Ablahad was advised that her helpers must completed the Mandated Reporter training course and must renew every 2 years.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
LIC809
(FAS) - (06/04)
Page:
10
of
11
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:
ABLAHAD, RANEEN FAMILY CHILD CARE
FACILITY NUMBER:
376100134
VISIT DATE:
10/28/2021
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
Licensee, Ms. Ablahad was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
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
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to
[email protected]
. For additional information regarding the inspection and its tools and methods, please visit the
Program website
at
www.cdss.ca.gov/inforesources/community-care-licensing/process
.
A notice of site visit was given and was observed posted. This notice shall remain posted for 30 days.
Exit interview was conducted with Ms. Ablahad. Appeal rights were discussed and a written copy provided. A copy of the licensing report was also provided to Ms. Ablahad.
TYPE B DEFICIENCIES WERE CITED.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/28/2021
LIC809
(FAS) - (06/04)
Page:
11
of
11