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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101332
Report Date: 06/05/2024
Date Signed: 06/05/2024 02:33:22 PM

Document Has Been Signed on 06/05/2024 02:33 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:BEIZDO, RASHA FAMILY CHILD CAREFACILITY NUMBER:
376101332
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
06/05/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Rasha BeizdoTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On 6/5/24 at 12:30 pm, Licensing Program Analyst (LPA) Gerald Poindexter conducted an unannounced inspection for an Increase in Capacity application. LPA met with licensee Rasha Beizdo. Fire clearance report was provided to the Department on 4/26/24. The two-bedroom, one-bath home was toured and inspected to ensure an environment safe for the care and supervision of children. Present in the home was two of the licensee’s minor children. Licensee states hours of operation is seven days per week, 7 am to 9 pm. No day care children were present at the time of the inspection.

Areas used for childcare include the following areas: living room, kitchen, bathroom, and the fenced/gated front yard. Off limit areas include Bedrooms #1 and 2, the garage, and backyard. Off-limit areas have been made inaccessible with the use of door locks and door knob covers. The garage is not accessible from inside the home. The licensee has sufficient toys and equipment available.

The home has a fenced/gated front yard area available for outdoor activities and licensee understands that supervision is required at all times during outdoor activities. The fire extinguisher, smoke detector, and carbon monoxide detector meet requirements and are operational. All hazardous items were secured out of reach of children via latches/locks and high placement. There is no body of water on the property. Licensee states that there are no weapons in the home. Pediatric First Aid and CPR certifications for licensee expire on 07/2025. LPA advised licensee of all helper/aide requirements. Licensee has required immunizations. Applicant is exempt from Mandated Reporter Training as Arabic is their primary language.

LPA observed all required postings were posted. Children’s records were reviewed and found to be incomplete. Staff records were reviewed. Licensee maintains a current roster of the children which LPA obtained during time of inspection. CONTINUED ON PAGE 2
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2024
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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BEIZDO, RASHA FAMILY CHILD CARE
FACILITY NUMBER: 376101332
VISIT DATE: 06/05/2024
NARRATIVE
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Emergency drills were conducted and documented with the last drill dated 12/4/23. Licensee was reminded that drills must be conducted every six months. LPA verified that all adults living or working in the home have been fingerprint cleared and associated. LPA reminded Licensee that all unusual incident reports shall be submitted to Licensing office via email at [email protected] or via fax at (619)767-2203. Duty officer number is (619)767-2248.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms; corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer.

LPA discussed the safe sleep regulations with applicant 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 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.



Licensee was reminded that all adults 18 and over living or working in the home, 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.

The Licensee rents the home and provided proof of control of property. Capacity limitations and help/employee requirements were reviewed. Licensee is to be present in the home to ensure children are supervised and is reminded that the license is NOT transferable and should she relocate, this license will be null and void.

CONTINUED ON PAGE 3
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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 N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BEIZDO, RASHA FAMILY CHILD CARE
FACILITY NUMBER: 376101332
VISIT DATE: 06/05/2024
NARRATIVE
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See LIC809D for deficiencies cited

A license for 14 children may be issued upon completion of Plan of Correction. Licensee was reminded that annual fees are due on the date they were licensee every year.

Exit interview conducted and report was reviewed with the licensee Rasha Beizdo. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/05/2024 02:33 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 06/05/2024 at 01:48 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: BEIZDO, RASHA FAMILY CHILD CARE
FACILITY NUMBER: 376101332

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/19/2024
Section Cited
CCR
102417(g)(9)(A)(1)

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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…. (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department….(A)Each family child care home shall conduct fire drills and disaster drills at least once every six months. (1)The licensee shall document the drills, including the date and time of each drill. This documentation shall be kept at the family child care home. This requirement is not met as evidenced by:
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LPA provided a sample copy of Emergency drill log to the licensee, who stated they will conduct a fire drill or earthquake drill no later than 6/19/24. The licensee will email a photo of the documentation to LPA via email by POC date.
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Based on LPA's observations and review of facility records, licensee has not performed or documented a fire drill every 6 months as required. Most recent drill was 12/4/23. This poses a potential safety risk to children in care.
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Type B
06/19/2024
Section Cited
CCR102417(m)(3)(a)

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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....(a)...If the provider does not own the premises used as the family child care home,
This requirement is not met as evidenced by:
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Based on records review, 9 of 9 children's records were incomplete. Section B, aknowledging that the provider does not own the premises was not signed by parents which poses/posed a potential health, safety or personal rights risk to persons in care.
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The licensee states she will submit proof of completed signed affidavit Section B by parents to the Department, via email by 6/19/24.
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: 06/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2024


LIC809 (FAS) - (06/04)
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