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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
376101263
Report Date:
09/25/2023
Date Signed:
09/25/2023 03:15:08 PM
Document Has Been Signed on
09/25/2023 03:15 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
CCLD Regional Office
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
NIQOLA, ATOOR FAMILY CHILD CARE
FACILITY NUMBER:
376101263
ADMINISTRATOR:
ATOOR AKOBUAN
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(619) 212-3697
CITY:
EL CAJON
STATE:
CA
ZIP CODE:
92021
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
2
DATE:
09/25/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
12:50 PM
MET WITH:
Atoor Akobuan
TIME COMPLETED:
03:40 PM
NARRATIVE
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On 9/25/23 @ 12:50PM, Licensing Program Analysts (LPAs) Nancy Diaz and Martha Avila conducted an unannounced inspection. LPA disclosed the purpose of the inspection and was granted facility entry by the Licensee when they arrived at 1:05PM. A tour of the home was conducted with Atoor Niqola (licensee) and her daughter Santamarya Akobuan. Two children arrived at 2:30pm. The following areas are accessible to children daycare room, daycare bathroom, daycare bedroom and back fenced yard. Facility operates 24 hours; 7 days. 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.
There were no bodies of water observed present today is a pool/spa located in the yard that is fenced as specified by regulation. Licensee maintains a weapon/firearm in the home that is kept stored and inaccessible to children. Ammunition were stored separately.
Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored appropriately and inaccessible to children.
Fire place and or open face heaters are screened 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. Licensee provide safe toys, play equipment and materials. The home maintains a working telephone service.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/25/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/25/2023
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
6
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:
NIQOLA, ATOOR FAMILY CHILD CARE
FACILITY NUMBER:
376101263
VISIT DATE:
09/25/2023
NARRATIVE
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Licensee currently do not have any infants in care at this time.
LPA discussed the safe sleep regulations with licensee and her daughter, Santamarya Akobuan 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 licensee 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 or supervised by the licensee. An isolation area has been designated for children who became ill during the day.
Staff records were reviewed. Staff have completed the mandated reporter training pursuant to Health & Safety Code. Licensee was made aware that the mandated reporter training shall be renewed every 2 years.
Staff have been immunized against influenza, pertussis and measles. Licensee’s CPR and First aid is valid thru July 2025.
Licensee 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.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/25/2023
LIC809
(FAS) - (06/04)
Page:
2
of
6
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:
NIQOLA, ATOOR FAMILY CHILD CARE
FACILITY NUMBER:
376101263
VISIT DATE:
09/25/2023
NARRATIVE
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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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at:
https://www.ada.gov/resources/child-care-centers/
.
Licensee was informed of the MyChildCarePlan.org website; 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.
To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process
.
Exit interview conducted and report was reviewed with the licensee and daughter Santamarya Akobuan. A copy of this report and appeal rights were also given today. Notice of site visit was given and observed posted. This notice must remain posted for 30 days.
TYPE B DEFICIENCIES WERE CITED TODAY.
SUPERVISORS NAME
:
Tashima Daniel
LICENSING EVALUATOR NAME
:
Nancy Diaz
LICENSING EVALUATOR SIGNATURE
:
DATE:
09/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/25/2023
LIC809
(FAS) - (06/04)
Page:
3
of
6
Document Has Been Signed on
09/25/2023 03:15 PM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
09/25/2023
at
02:27 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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
NIQOLA, ATOOR FAMILY CHILD CARE
FACILITY NUMBER:
376101263
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/25/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)
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: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Licensee does not have proof that a fire drill was conducted since she was licensed in 2022. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
10/02/2023
Plan of Correction
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2
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4
Licensee stated that they will conduct a fire drill no later than 10/2/2023.
Type B
Section Cited
CCR
102419(d)
Admission Procedures and Parental and Authorized Representative's Rights
(d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05).
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. Licensee did not have form LIC 995A on file. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
10/02/2023
Plan of Correction
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2
3
4
LPA provided the licensee a packet of the required childrens' forms. She will make copies and have parents complete the form no later than 10/2/2023.
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:
09/25/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/25/2023
LIC809
(FAS) - (06/04)
Page:
4
of
6
Document Has Been Signed on
09/25/2023 03:15 PM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
09/25/2023
at
02:27 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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
NIQOLA, ATOOR FAMILY CHILD CARE
FACILITY NUMBER:
376101263
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/25/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(7)
Operation of A Family Child Care Home
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Licensee did not have the required forms on file. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
10/02/2023
Plan of Correction
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2
3
4
LPA provided the licensee a packet of the required childrens' forms. She will make copies and have parents complete the form no later than 10/2/2023.
Type B
Section Cited
CCR
102417(g)(8)
Operation of A Family Child Care Home
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Licensee did not maintain the required Children's Roster on file. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
10/02/2023
Plan of Correction
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4
Licensee shall complete form LIC 9040 (Children's Roster) by 10/2/2023.
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:
09/25/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/25/2023
LIC809
(FAS) - (06/04)
Page:
5
of
6
Document Has Been Signed on
09/25/2023 03:15 PM
- It Cannot Be Edited
Created By:
Nancy Diaz
On
09/25/2023
at
02:27 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
,
7575 METROPOLITAN DR STE 110
SAN DIEGO
,
CA
92108
FACILITY NAME:
NIQOLA, ATOOR FAMILY CHILD CARE
FACILITY NUMBER:
376101263
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
09/25/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(m)(3)
Operation of A Family Child Care Home
(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above. Licensee did not maintain the required forms on file for review. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
10/02/2023
Plan of Correction
1
2
3
4
LPA provided the licensee a packet of the required childrens' forms. She will make copies and have parents complete the form no later than 10/2/2023.
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:
09/25/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
09/25/2023
LIC809
(FAS) - (06/04)
Page:
6
of
6