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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628149
Report Date: 03/03/2023
Date Signed: 03/03/2023 05:28:06 PM

Document Has Been Signed on 03/03/2023 05:28 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:RANJBAR, SHAHLA FAMILY CHILD CAREFACILITY NUMBER:
376628149
ADMINISTRATOR:SHAHLA RANJBARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 295-5230
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
03/03/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Shahla RanjbarTIME COMPLETED:
05:40 PM
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On 3/3/23 Licensing Program Managers (LPM’s), Renesha Askew and Monica Cuddy conducted an Office meeting with Licensee, Shahla Ranjbar and her husband Abdohousain (Joe) Shegarfi. The purpose of this meeting is to discuss Licensee’s recent annual inspection and the Licensee’s demeanor and concerns.

On 2/27/23 during the Annual inspection Licensee had a disagreement with LPA regarding the nature and scope of the citations, the timing of the visit (during nap), and with LPA Mangina conducting the visit/presence in the home. During the visit on 2/27/23 the facility was cited for the following citations:

Type A:
· 102417(g)(5) there were multiple buckets, trash cans and tubs filled with water in an area accessible to children in care in the backyard. - LPM advised the visit report will be amended to remove the citation and a Technical violation is being issued today in it's place as Licensee ensured water was dumped during the visit upon being advised of the issue and the water wasn't immediately accessible but could have been a potential risk. Licensee states will now use living room for daycare and will ensure to make sliding door inaccessible that leads to off-limits backyard area.

As well as multiple Type B citations for not having a current/updated children’s roster, not having children’s files, home being cluttered with boxes and bins piled and on the floors of the playroom and adjacent bathroom, no emergency drills conducted since 12/2020, personnel records being incomplete, and area previously marked off limits being accessible/used for daycare space without prior inspection/approval.

LPM discussed backyard hazard as a low barrier/fence is in place to separate a section of the backyard for the children to use for outside play. Due to the height of the barrier direct visual supervision is required at all times to ensure that off limits areas of the backyard, which is not fully fenced, are not accessible to children. LPMs reviewed current sketches on file with Licensee and Licensee completed and provided an updated sketch to show off limits’ areas during this office meeting.
SUPERVISORS NAME: Kimberly Hall
LICENSING EVALUATOR NAME: Renesha Askew
LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2023
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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: RANJBAR, SHAHLA FAMILY CHILD CARE
FACILITY NUMBER: 376628149
VISIT DATE: 03/03/2023
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The following Regulations were reviewed and copy of each listed were provided to Licensee during this meeting: Health and Safety Code Section 1596.8662 Mandated Reporter Training, and Title 22 sections 102416 Personnel Records, 102416.1 Personnel Requirements, 102417 Operation of a Family Childcare Home, and 102416.3 Alterations to Buildings and Grounds. LPM also offered a referral to the Technical Service Program (TSP) to assist with ongoing physical plant concerns which Licensee agreed to. A copy of the TSP brochure was provided. For questions related to TSP, email: [email protected].

Title 22 Section 102391 Inspection Authority of the Department was reviewed and provided. LPMs discussed Licensee and Spouse inappropriate conduct during 2/27/23 visit and the need for all of us to foster a good working relationship with each other at all times by ensuring a professional tone and demeanor by Licensee, residents, as well as the Department.

Licensee was also provided with the CDSS Child Care Licensing (CCL) Family Child Care Providers Resource link with instructional videos: https://ccld.childcarevideos.org/family-child-care-providers/. It is recommended for Licensee to review the videos including, but not limited to: Community Care Licensing Inspection Authority, What is a civil Penalty, Locks and Inaccessibility Requirements in a Child Care, Bodies of Water Requirements in a Family Child Care, and Record keeping in a Family Child Care.

Licensee states she understands that she needs to abide by Health and Safety Code and Title 22 Regulations in the operation of her Family Child Care Home.

Licensee was advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates and regulation. Licensee stated she is signed up to receive the PIN's. During meeting licensee was provided the Duty Line: 619-767-2248 who is available to assist Monday – Friday 8am-5pm.

Exit interview conducted and report was reviewed and provided to the licensee.
SUPERVISORS NAME: Kimberly Hall
LICENSING EVALUATOR NAME: Renesha Askew
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023
LIC809 (FAS) - (06/04)
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