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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423537
Report Date: 03/15/2024
Date Signed: 08/06/2024 10:07:23 AM

Document Has Been Signed on 08/06/2024 10:07 AM - 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:BEY, KAAMILFACILITY NUMBER:
013423537
ADMINISTRATOR:BEY, KAAMILFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 290-8344
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
03/15/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Kaamil BeyTIME COMPLETED:
01:00 PM
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*****************THIS IS AN AMENDED REPORT*****************************************

On 03/15/2024 at 08:30 AM Licensing Program Analyst's (LPA's) B. Govindasamy and D. Campos conducted an unannounced 3 year Required inspection at Kaamil Bey's Family Childcare Home. LPA's met with assistant Camila Bevilacqua and explained the purpose of today's inspection. LPA's were granted the inspection authority to enter the Home. Licensee Kaamil Bey arrived later during the inspection. The family childcare home days and hours of operation are Monday to Friday 8:00 AM to 05:30 PM. Present in the home at time of inspection were Licensee, her spouse, three assistants and ten children in care consisting of three infants and seven preschoolers. The licensee's two minor children also reside in the home but were not present during today's inspection.

Indoor Space: At 9:00 AM a health and safety tour of inside the home was done. LPA toured the premises with assistant Camila Bevilacqua. The home is a four level house that consists of five bedrooms and three and half bathrooms. The home is sanitized and orderly in compliance with Title 22 Regulations during today's inspection, with heating and ventilation for the safety and comfort of children in care. Outdoor Space: AT 9:30 AM LPA's toured the outdoor area front yard and back patio deck and observed it was fenced. LPA's observed there are no pools, hot tubs or other bodies of water.


The OFF LIMIT AREAS are the kitchen (main floor), the garage (top floor), the three bedrooms, two bathrooms and the deck (on the second floor), the office and the den (first floor), which is inaccessible by closed and/or locked doors or visual supervision. The ON LIMIT AREAS are the living room/dining room combo which is the main area of the day care, the half bathroom, the two bedrooms, the full bathroom in one of the bedrooms, the deck right off the the living room and the fenced in front yard area. The ISOLATION AREA will be the bedroom with the sliding door that leads to the front yard. Outdoor play area will be in the fenced in front yard and the back patio area. There are toys and play equipment for the children. There are no pools, hot tubs or any other bodies of water during today's inspection.
---See LIC809C for continuation-------------------------------------------------------------------------
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2024
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 18
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: BEY, KAAMIL
FACILITY NUMBER: 013423537
VISIT DATE: 03/15/2024
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Medicines, cleaning products, and sharp objects are stored inaccessible to children in care during today's inspection. The fireplace is screened and blocked to prevent access to children in care. Licensee was reminded that smoking is not allowed in a family child care home. Licensee was reminded that baby walkers, bouncers, jumpers and similar items are not allowed in family childcare homes. Licensee states that there are no pets in the home. Licensee states there are no arms and ammunition stored in the home. There is a 3A40BC fire extinguisher that was last serviced on 2/2021 and pull down fire alarm on the wall next to the front door and a working smoke/carbon monoxide detector in the main area of the day care. Licensee has a working telephone and complete First Aid Kit. Children files and Facility files were reviewed. Facility contained a Children's Roster.

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 inspectionprocess@dss.ca.gov. 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.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/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.

-----See 809C for continuation----------------------------------------------------------------------------

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: BEY, KAAMIL
FACILITY NUMBER: 013423537
VISIT DATE: 03/15/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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.

During the exit interview, the LICENSEE Kaamil Bey, confirmed that there are no Registered Sex Offenders living in the facility.

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

No citations issued during today's inspection.

Exit interview conducted and report was reviewed with the licensee Kaamil Bey.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
LIC809 (FAS) - (06/04)
Page: 3 of 18
Document Has Been Signed on 08/06/2024 10:08 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 07/23/2024 06:02 PM


Created By: Diana Campos On 03/15/2024 at 12:00 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BEY, KAAMIL
FACILITY NUMBER: 013423537

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Deficiency Dismissed
Section Cited
Administration of Child Day Care Licensing
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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4
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Sherelle Johnson
LICENSING EVALUATOR NAME:Diana Campos
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2024


LIC809 (FAS) - (06/04)
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