Facility-requested visit·October 29, 2025

Licensing Program Analyst (LPA) Andrea Cortez arrived at the facility and met with applicant, Asrigal Yaseen for the purpose of a change of location pre-licensing inspection. Applicant\342\200\231s daughter was present during the inspection translating in Dari to English on behalf of the applicant. All subjects to criminal background review have obtained a criminal record clearance. Applicants plan to operate Monday- Friday from 8AM to 10PM. A health and safety inspection were conducted inside and out of the home. The off-limit areas include entire 2 nd floor, and the garage. Off-limit areas will remain inaccessible to children by closed door and/or supervision. LPA observed a dual functioning smoke and carbon monoxide detector and a fully charged 3A40BC fire extinguisher. Preventative Health, current pediatric CPR and first aid training was verified and expires 01/2026. Applicant has completed Mandated Reporter Training on 01/21/2025. Applicant stated that there are no weapons in the home. LPA observed a gas fireplace. Supervision was discussed and applicants understand that children must be 100% supervised. LPA observed a fenced yard and no bodies of water. Immediate Civil Penalty regulation and deficiencies were reviewed. 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated. Applicant is the homeowner and has provided a copy of the grant deed. LPA reviewed with applicant and provided copies of all forms required for children's records including form LIC311D, Forms/Records To Keep In Your Family Child Care Homes, and information to be posted. LPA consulted applicant regarding the following topics; Type A vs. Type B deficiencies, complaints, LPA right to interview children without parental consent, civil penalties, incidental medical services, placement of detergents, placement of poisons, placement of medicines, announced vs. unannounced inspections, posting requirements, unusual incident reports, On-limits vs. Off-limit areas, licensing file management, fire drills, 80% supervision, 100% supervision, fingerprint clearances, advertising, mandated reporting best practices, and applicant\342\200\231s responsibility to stay up to date on new law and regulations. LPAs consulted the applicant regarding personal rights. Applicant understands that corporal, physical and/or unusual forms of punishment is never allowed toward day care children or their own children during day care hours. LPAs provided the Community Care Licensing\342\200\231s website www.ccld.ca.gov , so the licensee can obtain updated licensing information, new regulations and access forms. LPA advised Applicant of their responsibility to stay current regarding new regulations. LPAs advised applicant to sign up for the quarterly updates provided by the Childcare Advocates Program. LPAs provided the link https://www.cdss.ca.gov/inforesources/Community-Care-Licensing/subscribe for the applicant to sign up for the updates. Continued on LIC809Ceport continued on LIC809C 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-and-resources/safe-sleep as an additional resource. LPAs 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. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (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 . 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. Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. Prior to licensure Applicant is required to submit the following: \302\267 In home stairs safety gate \302\267 Fireplace barricade Once proof of pending items are submitted the facility will be granted a childcare home license to serve a capacity of 8 children with no more than 3 infants, 3 children 2-5 years, and two older children or 4 infants only Exit interview Asrigal Yaseen