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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101786
Report Date: 01/17/2024
Date Signed: 01/17/2024 04:21:30 PM

Document Has Been Signed on 01/17/2024 04:21 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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SAFAVI, TOURAN & TABATABAEI, S. FAMILY CHILD CAREFACILITY NUMBER:
376101786
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
01/17/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:07 PM
MET WITH:Touran Safavi and Saeid TabatabaeiaTIME COMPLETED:
04:40 PM
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On January 17, 2024 at 2:07 PM, Licensing Program Analyst (LPA) Sherlynn Banas conducted an announced Pre-Licensing inspection for Safavi Touran and Saeid Tabatabaei (applicants). Upon arrival, LPA met with applicants. The two-story home with underground was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher (3-A:40-B-C located under the sink) and carbon monoxide detector/smoke detector in one (located by the kitchen area) meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There is a working phone at the facility. There are no bodies of water in the home. Applicant states that there are no weapons in the home. Applicant states that they have sufficient financial resources to sustain the license. CPR and First Aid for Touran Safavi expires on May 12, 2025. Saied Tabatabaei CPR/First Aid expires on December 2, 2025. Preventative health practices course was completed on December 17, 2023 for Taouran Safavi which includes lead poison prevention training. Preventative health practices course was completed on December 3, 2023 for Saeid Tabatabea which includes lead poison prevention training. Mandated Reporter Training was taken last November 19, 2023 for Touran Safavi. Mandated Reporter Training was taken last December 21, 2023 for Saeid Tabatabae. Staff immunization requirements were met. Required documents have been posted. Applicants own the home. The applicant has enough toys for the outdoors. There is a fireplace covered by a painting and blocked by the television in the living room area on the first floor.

Applicant will be using the underground area for day care. The following rooms will be used for childcare: Living room, bathroom, and bedroom 1. The garage is off limits and locked in the underground area. Off-limits areas include all first floor and second floor. On the first floor, off-limits are the living room, dining room, and extra closet. The second floor was barricaded with meshed gate. LPA asked if there is a separate room or place for isolation when one child/ children were sick, and she stated the living room on the first floor will be used. The backyard is used for outdoor play and understands that visual supervision is always required. Verification of control of property is on file. Property owner/Landlord notification is on file.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2024
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 NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SAFAVI, TOURAN & TABATABAEI, S. FAMILY CHILD CARE
FACILITY NUMBER: 376101786
VISIT DATE: 01/17/2024
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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA reviewed with applicant the LIC 311D, Forms/Records to Keep in Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. The new provider packet was reviewed with the applicant including information on child abuse and unusual incident reporting. LPA provided information regarding the YMCA Resource center. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer. LPA and applicant discussed Shaken Baby Syndrome and California Megan's Law. LPA provided: www.meganslaw.ca.gov.


LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep information which can be found at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant 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.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
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
SAN DIEGO NORTH, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SAFAVI, TOURAN & TABATABAEI, S. FAMILY CHILD CARE
FACILITY NUMBER: 376101786
VISIT DATE: 01/17/2024
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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.htm.



No corrections are needed. A license for 8 children may be granted upon final file review. Applicant agreed to comply with all regulations and laws governing family child-care homes.

Exit interview conducted and report was reviewed with the applicants Touran Safavi and Saeid Tabatabaea.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Sherlynn Banas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024
LIC809 (FAS) - (06/04)
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