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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629420
Report Date: 12/05/2023
Date Signed: 12/05/2023 04:08:24 PM

Document Has Been Signed on 12/05/2023 04:08 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:BAHATI, LADIYA FAMILY CHILD CAREFACILITY NUMBER:
376629420
ADMINISTRATOR:LADIYA BAHATIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 597-0578
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
12/05/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Ladiya BahatiTIME COMPLETED:
04:15 PM
NARRATIVE
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On 12/05/23 at 1:15PM, Licensing Program Analyst (LPA) Luigi Gargaro conducted an unannounced case management visit to the facility. During the visit, analyst found two adults in the home who were not on the licensee's list of cleared and associated personnel.

Licensee was being assisted today by Therese Sapili who she stated has clearances from prior employment at a Child Care Center. Analyst found that Ms. Sapili did have an active clearance in the system but was not associated to the licensee's facility as required by regulation.

The second adult present in the home was a friend of the licensee who was visiting today, Larissa Kabaye. When analyst arrived, Ms. Kabaye was sitting in one of the day care bedrooms and later came out and was engaging and interacting with the day care children. The licensee stated that the acquaintance was unable to speak English but before analyst was able to attempt to interview her, Ms. Kayabe left the home.

LPA issued two citations Type A violations today for licensee not having facility helper's clearances transferred and for her uncleared acquaintance who LPA determined had a prominent presence while being in the home today. A copy of this report, along with Appeal Rights (LIC9058 01/16), were provided to the licensee today.

Upon receipt of a type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Analyst printed a copy of the Notice Of Site Visit today and had licensee place it in her facility notice area before he left the home.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2023
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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Document Has Been Signed on 12/05/2023 04:08 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 12/05/2023 at 01:37 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: BAHATI, LADIYA FAMILY CHILD CARE
FACILITY NUMBER: 376629420

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/06/2023
Section Cited
CCR
102370(d)(2)

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102370 Criminal Record Clearance (d)(2) - All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 102370(j)

This requirement was not met as evidenced by:
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Licensee stated that Ms. Sapili has been working for her for a month. Provider was issued a corresponding civil penalty for the violation and provided with a criminal record transfer form to complete and submit to licensing by 12/06/23 to correct the deficiency.
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Based on analyst record review and interview, the licensee did not comply with the section cited above as her helper in the facilty today, Therese Sapili, did not have existing clearances transferred over from her association at another facility which is an immediate risk to the health and safety of children in care.
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Type A
12/06/2023
Section Cited
CCR102370(k)

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102370 Criminal Record Clearance (k) - The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of employees, volunteers that require fingerprinting and non-client adults residing in the facility.

This requirement was not met as evidenced by:
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Licensee stated that her friend was just visiting and is not part of the day care. Licensee understands that any adults who have any type of prominent presence in the home must always be fingerprinted prior to having a presence in the home.
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Based on analyst observation and interview with licensee, the licensee did not comply with the section cited above as acquaintance, Larissa Kabaye, was found actively engaging in the facility today without fingerprint clearance which is an immediate risk to the health and safety of children in care.
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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:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2023


LIC809 (FAS) - (06/04)
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