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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010214403
Report Date: 11/09/2021
Date Signed: 11/09/2021 12:09:09 PM

Document Has Been Signed on 11/09/2021 12:09 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:BIMAR, FAWZIEHFACILITY NUMBER:
010214403
ADMINISTRATOR:BIMAR, FAWZIEHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 538-8283
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
11/09/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Fawzieh Bimar- LicenseeTIME COMPLETED:
12:20 PM
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On 11/9/21 at 10:50am, Licensing Program Analyst (LPA) Briana Plumboy met with licensee Fawzieh Bimar for an UNANNOUNCED REQUIRED ANNUAL RANDOM INSPECTION. Present for this inspection is licensees fingerprint clear and associated son Mayhan Bimar, 2 infants, and 3 preschool age children. This facility currently operates Monday through Friday from 6:30am until 6:00pm.

The home is tri-level. The home is neat and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS are the entire middle level except the kitchen. The middle level of the home on limit areas includes 2 bedrooms, a hallway bathroom, a dining room, a living room, and a master bedroom with bathroom. The OFF LIMIT AREAS are the kitchen, garage, and the upper level of the home which will be inaccessible by closed and/or locked doors, child safety gates, and visual supervision. The ISOLATION AREA will be the living room. The FRONTYARD and BACKYARD play areas are fenced. The front yard has artificial grass and no play structures at this time. The left and right sides of the backyard (sides of the home) are off limits to children in care. There are toys and learning materials that appear to be safe and in good condition during today's inspection. Hazardous materials and toxins are kept out of the reach of children and it was observed that there are no toxins or hazardous items accessible during today's inspection.

The home has a fully charged 3A40BC fire extinguisher, working smoke detector, pull down fire alarm, working carbon monoxide detector, and working telephone. The licensee's CPR and First Aid certificate is current and expires 10/24/22, and her son Mayhan Bimar's expires 10/14/22. Licensee and her son Mayhan are in compliance with the immunization law. Licensee and her son Mayhan Bimar both have received certificates in mandated reporter training on 11/3/21. The fireplace has a safety lock to prevent access by children. Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 10/5/21.
The licensee is in ratio today. Forms are posted and visible for public review.
See 809-C for continuance
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2021
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: BIMAR, FAWZIEH
FACILITY NUMBER: 010214403
VISIT DATE: 11/09/2021
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Incidental Medical Services (IMS) policy was discussed. 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

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov



LPA discussed the safe sleep regulations with licensee Fawzieh Bimar 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 Fawzieh Bimar 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.

A notice of site visit was given and must remain posted for 30 days.

No deficiencies cited during today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Fawzieh Bimar.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC809 (FAS) - (06/04)
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