197410046-6-7-2019-30-CC-KSCT-BCWUJ3-20190607153653

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197410046
Report Date: 06/07/2019
Date Signed: 06/07/2019 03:37:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	MCKAY FAMILY CHILD CARE		FACILITY NUMBER:	197410046
ADMINISTRATOR:	MCKAY, ANASTACIA D.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 779-7868
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90044
CAPACITY:	14	CENSUS:	DATE:	06/07/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:54 AM
MET WITH:	Anastacia McKay		TIME COMPLETED:	03:51 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Keyona Scott conducted an unannounced Annual Random Inspection to ensure the health and safety of the Child Care Home according to Department Regulations and Health and Safety Codes. LPA met with Licensee Anastacia McKay on 06/07/19 at 10:58 AM. Licensee, Co-Assistant (Guy McKay) and 13 children in care (which includes one infant) were present at the time of the inspection. LPA was guided on a tour inside and outside of the home at 11:05 AM. Licensee's Assistant (Demetria McKay) arrived to the facility at 11:20 AM. All adults, residing, working and present in the home are fingerprint cleared and associated to the facility. There are no changes to the facility layout or to the off-limit areas of the family child care home. The facility is a two level home with three bedrooms, three bathrooms and a garage. The lower level of the home, includes living room (playroom), dining room (activity room), and kitchen which is inaccessible by safety knob door lock. The primary child care is conducted in the dining room (activity room) area. The upper level of the home consists of three bedrooms, two bathrooms, living room, and dining room. The off limit areas of the home are the three bedrooms and the bathroom in the master bedroom. All bedrooms are made inaccessible by closed doors with safety knob door locks. The child care children utilize the bathroom on the upper level of the home adjacent to the living room. The child care children are guided to the restroom and have close supervision with Licensee and staff when taken to the restroom. No child care is conducted in the upper level of the home. The upper level of the home is separated by a door which is accessible from the lower level of the home. The lower level of the home is inaccessible from the upper level of the home due to there is a door at the five step stairway that has a safety knob door lock and prevents injury from the few stairs leading to the lower level of the home. Per Licensee, no child care is conducted in the garage. Hours of operation are Monday through Friday from 6 AM to 12 AM. Page 1

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MCKAY FAMILY CHILD CARE	FACILITY NUMBER: 197410046
	VISIT DATE: 06/07/2019

NARRATIVE

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Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome

Licensee was also reminded that only children eating may be in high chairs and that car seats are utilized only for transportation.

The licensee was also recommended the following Safe Sleep Practices: always place infants on their backs for sleeping; use only a tight-fitting sheet on the crib or play yard mattress; do not hang any items from the crib or above the crib; keep all items, including blankets, out of the crib or play yard; pacifiers may be used as long as they do not have items attached to them; infants should not be swaddled or have any items covering them while sleeping; the temperature of the room should be comfortable enough for an adult to wear a t-shirt and not be too hot or too cold. Please note, these guidelines are recommendations for best practices only, until regulations are approved and adopted.

The licensee was advised that, once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.

The facility was not operating in substantial compliance during this inspection. The facility was cited for Title 22 deficiency during this inspection. Please see LIC 809-D of this report for further details.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment

An exit interview was conducted, and a copy of this report (LIC 809), LIC 809-D, along with appeal rights were given to Licensee, Anastacia McKay, whose signature confirms today's inspection and report. Page 5

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MCKAY FAMILY CHILD CARE	FACILITY NUMBER: 197410046
	VISIT DATE: 06/07/2019

NARRATIVE

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During the inspection, LPA observed a knife on the counter in the dining room (activity room) outside of the kitchen viewing area that is next to the cupboard inside of the physical dining room area. Child care children were present in the dining room (activity room) area. All children were seated at tables or in high chairs. Children did not observe the unattended knife. Once LPA advised Licensee of unattended knife on counter, Licensee immediately removed knife from area and made knife inaccessible to the children in care. The knife being left on the counter unattended in the area the children are present poses a potential risk to the health, safety and/or personal rights of the children in care.

The home is equipped with a fully charged fire extinguisher which is at least a 2A:10BC. The home is also equipped with a working smoke detector and carbon monoxide detector. There is a first aid kit equipped in the home. LPA observed current First Aid and CPR certificates for Licensee, Co-Assistant and Assistant with an expiration date of 06/16/19 for Licensee, Co-Assistant and Assistant. Licensee, Co- Assistant and Assistant completed Mandated Reporter training on 05/21/18 (Licensee/Co-Assistant) and 04/06/18 (Assistant).

Toys and playthings are safe, orderly and age-appropriate for the children. Licensee agrees that no baby-walkers, bouncers, jumpers, exersaucers and similar items will be used for children in care and are kept inaccessible; None were observed by LPA. Outdoor play area is fenced in and also is free from defects or dangerous conditions.
Licensee states is not providing IMS (Incidental Medical Services) services at this time.

Update on Incidental Medical Services: 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

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SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MCKAY FAMILY CHILD CARE	FACILITY NUMBER: 197410046
	VISIT DATE: 06/07/2019

NARRATIVE

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There is a pool on the premises of the home. Licensee has a five foot fence that serves as a barrier to the swimming pool area. LPA observed direct pool access due to the windows in the lower level dining room (activity room) open directly to the pool area. LPA informed Licensee needs to completely enclose the pool area preventing children in care from having access to the pool. LPA informed Licensee will not be cited since there have not been any changes to the original floor/outdoor sketch plans submitted at the pre-licensing visit; However, Licensee will need to make the correction immediately. Licensee was further advised the fence surrounding the pool shall be at least 5 feet high, constructed so that the fence does not obscure the view of the pool, in good repair and completely surrounds the pool. Fence is designed and installed so children could not remove any portion of it. There is no window or door that provides direct access to the pool. The gate is self-closing and latching, and swings open away from the body of water. The self-latching device shall be no more than six inches from the top of the gate. Opening between railing does not exceed 4 inches. The distance between the ground and the bottom of the fence shall be no more than 4 inches from the hard surface (concrete). The spacing between the horizontal railings shall be no more than 45 inches apart. Fencing materials shall not be easily pushed over, broken, removed, or stretched by children. In addition fence shall not be easily climbable by children.

The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Home utilizes a centralized heat and air conditioning system as a heating and cooling source. Home has a working telephone. Hazardous materials in the kitchen and bathroom are inaccessible to children. According to the licensee, there are no weapons or firearms at the home; None were observed by LPA. There are two pet dogs at the home that are inaccessible to the children in care during operation hours.

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SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MCKAY FAMILY CHILD CARE	FACILITY NUMBER: 197410046
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/07/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/10/2019 Section Cited CCR 102417(g)(4)	1 2 3 4 5 6 7	102417 Operation of Family Child Care (g) The home shall be free from defects or conditions which might endanger a child... (4) Poisons...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:	1 2 3 4 5 6 7	Licensee states will no longer use any knives in the dining room (activity room) area as the kids. Licensee states will only use knives in kitchen. Licensee agrees to provide LPA with a signed and dated statement no later than 06/10/19.
	8 9 10 11 12 13 14	Based on observation, LPA observed an unattended knife in the same child care area the children were present; which poses a potential risk to the health, safety and/or personal rights to the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MCKAY FAMILY CHILD CARE	FACILITY NUMBER: 197410046
	VISIT DATE: 06/07/2019

NARRATIVE

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Incidental Medical Services Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering EpiPen Jr. and EpiPen or other Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.

The following was thoroughly discussed with the licensee:

All adults living and working in the home must be fingerprinted and cleared prior to entering the facility. The licensee was informed that the presence of adults in the home without Criminal Record Clearance or Exemption will be cited and civil penalty assessed for $100 per day. The licensee may find additional information and forms on the DSS website at www.ccld.ca.gov including information on the Live Scan application (LIC 9163). Appointments can be made for Live Scan at 1-800-315-4507.

Licensee was reminded it is the Licensee’s responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. Licensee was also encouraged to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations.

Licensee informed Fire Disaster Drills are to be conducted at least once every month and log must be kept.

Licensee also informed children records and facility roster must be kept for 3 years and advised all public reports must be kept for review.

The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000. Also call the CCL office within 24 hours of the Unusual Incident and follow up with a written Unusual Incident/Injury Report (LIC 624B) within 7 business days.

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SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 06/07/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019

LIC809 (FAS) - (06/04)

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