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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100962
Report Date: 06/26/2024
Date Signed: 06/26/2024 03:17:52 PM

Document Has Been Signed on 06/26/2024 03:17 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:FAIZI, ADILA FAMILY CHILD CAREFACILITY NUMBER:
376100962
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
06/26/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Licensee, Adila FaiziTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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Licensing Program Analysts (LPAs), Saraliz Velando and Mahjoba Raofi, conducted an unannounced case management inspection for an increase in capacity. LPA met with Licensee, Adila Faizi. There were 8 children present today. This visit is to verify that the licensee remains in substantial compliance with the health & safety standards as required by regulations governing large family childcare homes. Licensee has all appropriate forms posted. LPA confirmed with licensee that all adults residing/working in the home have criminal record/TB clearances. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was granted on 5/23/24. Licensee stated her business hours are 24 hours/seven days a week.

Areas used for childcare include Living room, dining room, family room, bathroom #1, bedroom #1, and Backyard. Off limits areas include bedroom #2 and bedroom #3 and bathroom #2 and are inaccessible through use of doorknob covers. The licensee has sufficient toys and equipment available. There is a nearby park that Licensee takes the children to for outdoor activities with constant supervision. LPA conducted childcare quality management interview with the Licensee. The fireplace is barricaded with a sofa to be inaccessible to children.

The fire extinguisher meets regulations and is located in the dining room area. The carbon monoxide detector/smoke detector combination located in the hallway also meets requirements and is operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water on the property, however, the licensee stated that his neighbor to the left has a swimming pool. Licensee states that there are no weapons in the home. Licensee has required immunizations. CPR/First Aid card expires July 2025. Licensee is exempt from Mandated Reporter Training as their primary language is Dari.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2024
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: FAIZI, ADILA FAMILY CHILD CARE
FACILITY NUMBER: 376100962
VISIT DATE: 06/26/2024
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LPA reviewed the following: required departmental documents, regulation highlights, community resources, capacity limitations, supervision, clearances, emergency drills, heat-related illness, child passenger law, unusual incidents, mandated reporting, Assembly Bill 633, SIDS, Safe sleep regulations, Shaken Baby Syndrome, Megan's law and Covid information. Applicant is reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats shall never be permitted during daycare operation. Any equipment used should only be used according to the manufacturer recommendations. For licensing regulations/updates/forms, go to webpage http://www.ccld.ca.gov

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.

No corrections are needed. An exit interview was conducted with Licensee, Adila Faizi.
A large license will be granted upon final file review.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2024
LIC809 (FAS) - (06/04)
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