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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101490
Report Date: 02/27/2025
Date Signed: 02/27/2025 03:29:59 PM

Document Has Been Signed on 02/27/2025 03:29 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:AMIRI, BASMINA & EMAL FCCFACILITY NUMBER:
376101490
ADMINISTRATOR/
DIRECTOR:		BASMINA & EMAL AMIRIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 701-2981
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 14TOTAL ENROLLED CHILDREN: 25CENSUS: 5DATE:
02/27/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:20 PM
MET WITH:Emal and Basmina AmiriTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 2/27/25 at 12:20 pm Licensing Program Analyst (LPA) Gerald Poindexter conducted case management inspection while at the facility for another matter. LPA met with the licensees Emal and Basmira Amiri (Ms Basmira Amiri left the home before this document was complete). Facility operates Monday through Friday from 6:15 am to 9 pm, with care provided over several shifts.

LPA toured the facility’s child care areas and reviewed facility records. LPA observed that:
· Several files for children currently enrolled do not have completed LIC282 forms (Section B not complete), immunization records, and Safe Sleep Logs
· The licensee, Mr. Amiri’s pediatric CPR/First Aid card expired 1/2025 and his Mandated Reporter Certificate expired 1/10/25
· Outlet Covers were missing from outlets in rooms where children have access
· Off-limits and on-limit rooms with chemicals were left accessible to children
· Outdoor play equipment (trampoline) did have manufacturer’s guidance for age-appropriateness and swingset did not have safe cushioning for landing

See LIC 809D for deficiencies cited

Exit interview conducted and report was reviewed with the licensee Emal Amiri.
A Notice of Site visit was given and must remain posted for 30 days. Licensee Appeal Rights (LIC 9098), along with a copy of this report, was provided to licensees.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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 02/27/2025 03:29 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 02/27/2025 at 01:57 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: AMIRI, BASMINA & EMAL FCC
FACILITY NUMBER: 376101490

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/27/2025
Section Cited
CCR
102417(g)(4)

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102417(g)(4) Operation of A Family Child Care Home (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by:
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Licenses secured the off limits room and the cosmetic case was removed. Deficiency cleared.
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Based on observation, Fabuloso liquid cleanser in an unlatched bathroom cabinet and Neutrogena sunscreen in an open cosmetic bag, were found accessible in an off-limits and on-limit rooms, respectively. This poses immediate health, safety or personal rights risk to persons in care.
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Type B
03/13/2025
Section Cited
CCR102417(d)

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102417 Operation of a Family Child Care Home (d) The home shall provide safe toys, play equipment and materials. This requirement was not met as evidenced by:
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Licensees stated they will remove the equipment by POC date 3/13/25 and provide photos to the LPA. Email: Gerald.Poindexter@dss.ca.gov
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Swingset did not include cushioning underneath. Trampoline was present for which the license did not have manufacturers instruction for age-appropriateness. These pose a potential health, safety or personal rights risk to persons 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/27/2025 03:29 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 02/27/2025 at 02:32 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: AMIRI, BASMINA & EMAL FCC
FACILITY NUMBER: 376101490

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2025
Section Cited
CCR
102417(g)

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Operation of A Family Child Care Home: (g) The home shall be free from defects or conditions which might endanger a child.
This requirement is not met as evidenced by:
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Licensees stated they will place covers on the outlets in rooms where care is provided and submit proof to the dept by 3/13/25. Email: Gerald.Poindexter@dss.ca.gov
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Based on observation, the licensees did not comply with the section cited above in that several outlets in rooms used to care for children are missing outlet covers which poses a potential health, safety or personal rights risk to persons in care.
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Type B
03/13/2025
Section Cited
HSC1596.8662(b)(1)

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Administration of Day Care Licensing: (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider... and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
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Mr. Amir states that he will renew hi certificate and submit proof to the Dept by 3/13/25. Email: Gerald.Poindexter@dss.ca.gov
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Based on interview and record review, the licensee Emal Amiri did not comply with the section cited above in that Mandated Reporter Training Certificate expired 1/10/25 which poses/ potential health, safety or personal rights risk to persons 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/27/2025 03:29 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 02/27/2025 at 02:40 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: AMIRI, BASMINA & EMAL FCC
FACILITY NUMBER: 376101490

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/27/2025
Section Cited
CCR
102416(c)

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Personnel Requirements: (c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
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Mrs. Alshammari stated that he will renew CPR/First Aid care and will submit a copy of the card to the department upon completion and no later than 3/27/25 Email: Gerald.Poindexter@dss.ca.gov.
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Based on interview and record review, the licensee Emal Amiri did not comply with the section cited above, as his CPR/First aid certificate expired January 2025. This poses a potential health, safety or personal rights risk to persons in care.
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Type B
03/13/2025
Section Cited
CCR102418(g)

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Immunizations: (g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. This requirement is not met as evidenced by:
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LPA identified all children with missing records. The licensees stated that they will obtain information from parents and complete required immunization form no later than 3/13/25. Email: Gerald.Poindexter@dss.ca.gov
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Based on observation and interview, the licensee did not comply with the section cited above as 7 of 25 children enrolled did have immunization records in their files. This poses a potential health, safety or personal rights risk to persons 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/27/2025 03:29 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 02/27/2025 at 02:53 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: AMIRI, BASMINA & EMAL FCC
FACILITY NUMBER: 376101490

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2025
Section Cited
CCR
102425(j)(2)

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Infant Safe Sleep: The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: This requirement is not met as evidenced by:
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LPA provided a sample of 15-minute log. They stated that they will start documenting nap checks immediately. They will submit copies of the logs to the department no later than 3/13/2025. Email: Gerald.Poindexter@dss.ca.gov
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Based on interview and record review, the licensee did not comply with the section cited above in that 3 of 3 three infants in care did not have Safe Sleep Logs on file. This poses a potential health, safety or personal rights risk to persons 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


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