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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100857
Report Date: 01/25/2024
Date Signed: 01/25/2024 10:56:11 AM

Document Has Been Signed on 01/25/2024 10:56 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:AL SAMMARIE, ZAINAB FAMILY CHILD CAREFACILITY NUMBER:
376100857
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 16CENSUS: 0DATE:
01/25/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Licensee, Zainab Al SammarieTIME COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA), Saraliz Velando conducted an unannounced Annual Licensing Inspection. LPA was greeted at the front door by licensee, Zainab Al Sammarie. LPA were granted entry after identifying herself and disclosing the purpose of the visit. There were zero children present, however the licensee stated that she has 16 enrolled children, but never at the same time.

The licensee has a two-level home with 4-bedrooms, 3-bathrooms. The following areas are used for daycare: Living room 1, Living room 2, Bathroom 1, and Backyard. Off limits area includes: Kitchen, Living room 3, Dining room, All of the 2nd floor, and garage. There is a smoke alarm and carbon monoxide detector in the living room 2 area, and they are both functional and meet regulations. The fire extinguisher located in the kitchen area also meets regulations. The home has electrical outlet covers. There are no wall heater, however there is a fireplace in Living room 2 and Living room 3 and they have both been screened to be inaccessible to children. Licensee stated no weapons or ammunition in the home and LPA did not observe any. Licensee has a hot tub/jacuzzi on the property, in the backyard that has a cover and locks in place, it is also barricaded to be inaccessible to children. Per licensee, operating hours are from 6:00am-3:00pm, Monday thru Sunday.

Storage for poisons, detergents, cleaning solutions, medications are inaccessible by safety latches. Licensee’s last fire drill was conducted 4 months ago on 9/21/23. The home is kept clean and orderly with heating and ventilation for safety and comfort.

Pediatric CPR and First Aid card for provider will expire May 2025. Licensee is exempt from Mandated Reporter Training because she speaks mostly Arabic. There is a working telephone and email address.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2023
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: AL SAMMARIE, ZAINAB FAMILY CHILD CARE
FACILITY NUMBER: 376100857
VISIT DATE: 01/25/2024
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share Licensee or facility representative was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain 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.

LPA discussed the safe sleep regulations with licensee or facility representative 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 for facility representative 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.

Incidental Medical services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.htmyour inspection experience. If you have any questions regarding the process or tools, please send them by email 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.

No deficiencies were cited today.

Exit interview was conducted and report was reviewed with licensee, Zainab Al Sammarie. Copy of report and Appeal Rights was given. A notice of site visit was posted and must remain for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
LIC809 (FAS) - (06/04)
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