Eldeeb, Sahar

102417(b) · Operation of A Family Child Care Home (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.

Deficient Practice Statement Based on observation and interview the licensee did not comply with the section cited above in that during the inspection LPA observed the toilet in the on-limit bathroom is clogged. Licensee disclosed that toilet has been in disrepair since 6/05/26, was repaired on 6/8/26 and became clogged again today which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/30/2026

102416.3(a)(6) · Alterations to Existing Building or Grounds (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.

Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in that licensee disclosed to LPA today that children have been using an off-limit bathroom after the on-limit bathroom became clogged which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/30/2026

102423(a)(2) · Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above in that LPA observed the back yard contains chairs and other furniture in disrepair which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 06/30/2026

102416.1(a)(10) · Personnel Records (a) Personnel records shall be maintained on each employee and shall contain the following information: (10) A signed and dated copy of the Notice of Employee Rights [LIC 9052, (Rev. 03/03)] as required by Section 102416(a) and Section 102417.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above 2 employee's do not have a signed LIC9052 on file which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/25/2025

102418(g) · 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.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above 1 child has no immunization record which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/25/2025

102425(c) · Infant Safe Sleep An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above 1 infant under 12 months old does not have an LIC9227 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/25/2025

102425(j)(2)(D)(c) · Infant Safe Sleep Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above Licensee is not documenting every 15 minutes on sleep logs which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 04/25/2025

102416(a)(1) · 102416(a) The licensee shall provide each employee with a copy of the Notice of Employee Rights (LIC 9052...(1) Each employee shall be requested to sign and date the notice form acknowledging receipt.

Licensee will ensure that all staff have a signed and dated copy of LIC9052 in their file. Through record review it was found that all 3 staff present did not have LIC9052 in their file which presents a potential risk to the health, safety and personal right of the children in care.

102416(c) · 102416(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.

Licensee has stated that the staff is registered for a EMSA approved CPR & First Aid training course on Friday, 10/4/2024. Licensee will send LPA Pringle copies of certificates upon receipt. Through record review it was found that staff present do not have current EMSA approved CPR & First Aid which presents a potential risk to the health, safety and personal right of the children in care. SUPERVISOR'S NAME: Jason Jang

102525(c) · 102425(c) An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file.

Licensee will obtain completed LIC9227 from infants parent and send a copy to LPA Pringle as proof of correction. Form will be placed in child file. Through record review it was found that 1 infant in care is missing LIC9227 from their file which presents a potential risk to the health, safety and personal right of the children in care. SUPERVISOR'S NAME: Jason Jang

102425(a)(3) · 102423(a) There shall be one crib or play yard for each infant...(3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. Licensee will ensure that the crib has a tight fitted sheet on the mattress while in use by the infant. Licensee will also remove the blanket that is currently being used. Licensee will send LPA proof of correction by POC date.

one infant was observed sleeping on a mattress without a tight fitted sheet, which poses an immediate health to the health and safety or personal rights risk to the children in care SUPERVISOR'S NAME: Jason Jang

102421(d)(1) · 102421(d) In any case in which the licensee cares for an additional child ...for a Large Family Child Care Home, the licensee shall maintain, in the child's record, proof of parent notification...(1) The licensee shall maintain a completed and signed LIC 9150 ... Licensee will obtain the missing nine (9) LIC9150 forms from the children's authorized representatives. Licensee will send LPA Pringle proof of correction by POC date listed, 9/18/2024. This requirement was not evidenced by: 9 childrens files were missing LIC9150 which poses a potential risk to the health and safety of the children in care.

102417(g)(7) · 102417(g)(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency...

Licensee will obtain the missing five (5) LIC700 forms from the children's authorized representatives. Licensee will send LPA Pringle proof of correction by POC date listed, 9/18/2024. Five (5) children enrolled in care are missing LIC700 Identification and Emergency Information form which poses a potential risk to the health and safety of the children in care. SUPERVISOR'S NAME: Jason Jang

102418(g) · 102418(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.

Licensee will obtain the missing required immunization records from the children's authorized representatives. Licensee will send LPA Pringle proof of correction by POC date listed, 9/18/2024. Five children enrolled in care are missing an immunization record. This poses a potential risk to the health and safety of the children in care.

102417(m)(3) · 102417(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance...

Licensee will obtain the missing eight (8) LIC282 forms from the children's authorized representatives. Licensee will send LPA Pringle proof of correction by POC date listed, 9/18/2024. Eight children enrolled in care are missing LIC282 Affidavit Regarding Liability Insurance. This poses a potential risk to the health and safety of the children in care. SUPERVISOR'S NAME: Jason Jang

102370(d)(1) · 102370(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department... Due to Marves Omier being left alone with children in care, A criminal record clearance must be obtained by Marves Omier before returning to the home. This requirement was not evidenced by,

Based on interview Licensee left nine (9) children in care with an adult friend, Marves Omier, who was cleaning the home and has not obtained a criminal record clearance which poses an immediate risk the health and safety of the children in care

102416.5(e) · 102416.5(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home...

, Licensee will ensure that when there no is helper present she will adhere to the capacity requirements of a small family child care home. Licensee will watch the CCLD training video titled, "How Many Children Can Attend a Family Child Care Home" Licensee had ten (10) children in care with no assistant present when C1 walked out of the home alone which poses an immediate risk to the health and safety of the children in care. and submit a statement to LPA summarizing what was learned and how she will remain in ratio moving forward. SUPERVISOR'S NAME: Jason Jang

102417(a) · 102417(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times....This requirement was not evidenced by, C1 left the home without supervision and without the Licensee's knowledge. Licensee will watch the training video on the CCLD website titled "Supervising Children in Family Child Care" and submit a statement to LPA Pringle summarizing what was learned from the video and how she will ensure full supervision will be provided moving forward. This poses an immediate risk to the health and safety of the children in care. SUPERVISOR'S NAME Jason Jang

102370(d)(1) · All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department Dina Gaffar is to immediately leave the home until her background check states she has an eligible criminal record clearance. A new live scan must be submitted.

Based on observation, the licensee did not comply with the section cited above in 1 unclear adult was present in the home which poses an immediate health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Jason Jang

102370(d)(1) · All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department Licensee had Tamana Kahimi immediately leave the home to get fingerprint clearance and is not to return until she has an eligible clearance.

Based on observation, the licensee did not comply with the section cited above in 1 unclear adult was present in the home which poses an immediate health, safety or personal rights risk to persons in care. SUPERVISOR'S NAME: Jason Jang

102425(a)(3) · Infant Safe Sleep (a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 1 infant was sleeping in a crib with a flat sheet wrapped around mattress not a tight fitted sheet which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/12/2024

102425(b) · Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in there was a toy in the crib with a sleeping infant which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/12/2024

102425(b)(3) · Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects. (3) There shall be no objects hanging above or attached to the side of the crib.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above a blanket was hanging over the side of the crib which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/12/2024

102425(j)(2) · 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

Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above infant does not have sleep logs for infant in care which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 03/12/2024

102418(g) · 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.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 infant does not have immunizations on file which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/25/2024

102419(d) · Admission Procedures and Parental and Authorized Representative's Rights (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05).

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 infant is missing the LIC995A which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/25/2024

102417(g)(7) · Operation of A Family Child Care Home (7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 infant does not have a LIC700 filled out which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/18/2024

102417(m)(3) · Operation of A Family Child Care Home (3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in all 4 children's files reviewed are missing LIC282 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/18/2024

102416.5(b)(3) · 102416.5 (b)(3) For a Small Family Child Care Home, the maximum number of children for whom care may be provided including children under age 10 who reside at the licensee's home...More than six and up to eight children.

LPA also was informed by licensee that one of the children is attending part-time from 9:00AM to 1:30PM Licensee would put one of her own foster children into another family member's care or enroll him into a daycare nearby starting on 4/25/2022. Based on observations and interview with staff member, licensee did not comply with the section stated as LPA observed 7 children present today, and verified with staff member that there were no school aged children, which poses an immediate health, safety, or personal right risks to children in care. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected. SUPERVISOR'S NAME: Jason Jang

102416.5(b)(3) · 102416.5 (b)(3) For a Small Family Child Care Home, the maximum number of children for whom care may be provided including children under age 10 who reside at the licensee's home...More than six and up to eight children, without an additional adult attendant, only if the criteria in Section 1597.44 of the Health and Safety Code are met.

Based on observation and interview with licensee, licensee did not comply with the section stated as LPA observed 8 children present today, and verified with licensee that the child is not attending school and is not at least six years old, which poses an immediate health, safety, or personal right risk to children in care. SUPERVISOR'S NAME: Jason Jang

102418(g) · Immunization 102418(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.

Based on observation, interview, and record review, licensee did not comply with the section stated as LPA verified and reviewed documentation with licensee that she does not have other immunization records for the child as her mother would bring the child to receive the rest of her vaccines once she reaches 5 months old, which poses a potential health, safety, or personal risks to children in care.

102416(1)(a) · Personal Requirements 102416(1)(a): Health and Safety Code Section 1596.866 provides in part...The training shall include pediatric cardiopulmonary resuscitation, pediatric first aid, recognition, management, and prevention of infectious diseases, including immunizations

Based on observation, interview, and record review, licensee did not comply with the section as LPA verified with staff member and review staff file that immunizations were still missing, which poses a potential health, safety, or personal right risks to children in care. SUPERVISOR'S NAME: Jason Jang

102425(i) · Infant Safe Sleep If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as there were one child who was asleep in the stroller which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/15/2022

102425(b)(3) · Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects. (3) There shall be no objects hanging above or attached to the side of the crib.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above, there were 2 cribs that had blankets inside which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/15/2022

102425(j)(1) · Infant Safe Sleep The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

Deficient Practice Statement Based on record review and interview with licensee's adult son, the licensee did not comply with the section cited above as she does not have a sleep log or LIC 9227 in any of the children's files which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/18/2022

102370(k) · Criminal Record Clearance (k) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of employees, volunteers that require fingerprinting and non-client adults residing in the facility.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as licensee does not have a file for her helper present at the facility, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/01/2022

102416.1(a) · Personnel Records (a) Personnel records shall be maintained on each employee and shall contain the following information

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as the licensee does not have any staff file avaialble for review which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/01/2022

102419(b) · Admission Procedures and Authorized Representatives Rights (b) The licensee shall post the PUB 394 (8/02), Family Child Care Home Notification of Parents’ Rights Poster in a prominent, publicly accessible area in the family child care home at all times children are in care.

Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as there were no requiring documents present for public review which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/01/2022

102418(g) · 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.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 6 children files did not have any immunizations present, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 03/01/2022

102417(m)(3) · Operation of A Family Child Care Home (3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 6 out of 6 children files did not have LIC 282 present, and did not have any documentation if licensee has daycare insurance which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 02/21/2022