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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410884
Report Date: 01/29/2020
Date Signed: 01/29/2020 12:00:27 PM

COMPREHENSIVE INSPECTION
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:TYRE FAMILY CHILD CAREFACILITY NUMBER:
197410884
ADMINISTRATOR:TYRE, TONI R.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 298-1454
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:14CENSUS: 1DATE:
01/29/2020
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Toni TyreTIME COMPLETED:
12:20 PM
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On 1/29/2020 at 8:30 AM Licensing Program Analyst (LPA) Angelica Ramirez met with Licensee, Toni Tyre, for the purpose of an annual/required inspection. Upon arrival, LPA observed licensee's granddaughter supervised by licensee and assistant. All adults were fingerprinted and associated to the facility. LPA Ramirez toured and inspected all rooms identified in facility sketch. Hours of operation are 23 hours Monday through Sunday.

This is a one story, two bedroom, one bathroom home with a den, kitchen, dining, living room, laundry area, one toilet room, and a detached garage. The detached garage is used as personal residence by licensee's daughter. There is no pool, spa or other bodies of water on the premises. Residing in the home is licensee, licensee's daughter, licensee's granddaughter (age three) and licensee's grandson (age two). The home has a fireplace that is tapped off and is barricaded, it is located in the living room. The main care area is in the living room, den (to the left of living room) and the third bedroom (used for day care children ages 2-5). The master bedroom (bedroom off kitchen) is off limits but has no lock, LPA requested licensee to add a handle and child proof door knob to make inaccessible. The bathroom (located in between master bedroom and day care room) is off limits to children. The toilet room is located behind the kitchen (directly in front of the washer and dryer hallway). There is no sink in this toilet room, children wash their hands in the kitchen sink.

LPA Ramirez observed age appropriate toys, learning materials, games and activities for children in care. The facility is inspected inside and outside for safety, comfort, cleanliness, telephone service (LPA updated licensee's phone number and email during this inspection), heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds, and hazardous items that can pose a danger to children. LPA observed cleaning detergents and medication accessible on the kitchen counter, kitchen table and living room. This will result in a Type B citation. LPA observed the home to have substantial clutter in the den, kitchen and dining room. The amount of clutter can cause a potential hazard to children in care, this will result in a Type B citation.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020
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: TYRE FAMILY CHILD CARE
FACILITY NUMBER: 197410884
VISIT DATE: 01/29/2020
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Inspection of the outdoor play area is conducted. LPA observed empty dirty coolers, broken tables, old tires (seven), glass table top, broken tent, old washer and dryer in the backyard. The amount of clutter in the backyard poses a potential hazard to children in care, this will result in a Type B citation. Per licensee, there are no weapons or firearms of any kind in the facility currently. LPA Ramirez did not observe any weapons. Children nap in cots in the den and living room. The required fire extinguisher (2A10BC) and smoke detectors are in operable condition. A Carbon Monoxide detector was observed and tested, operable. Home has heating. CPR/First Aid expired 9/30/2019 this will result in a Type B citation.

The facility annual fees are current. Licensee had all the required posted documents: Facility License (LIC 203), Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A), and Earthquake Preparedness Checklist (LIC 9148). Children files were found to be complete (see LIC811). LPA did not observe a fire and earthquake drill log or a current facility roster. This will result in Type B citations.

The following was discussed with the licensee: Mandatory Forms for the children’s files and provider’s files, Requirements for fire drills, earthquake drills, and documentation for both. The role and responsibilities of being a mandated reporter were discussed. The licensee was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov. Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. The licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must always have the facility’s phone number. If the phone number has changed, licensing must be notified.
There is an effective 24/7 ban on smoking tobacco in a home that is licensed as a family day care home, and in those areas of the family day care home where children are present.

State law prohibits baby walkers, bouncy seats, exer-saucers and any other items that fall into that category. All infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome). LPA advised licensee infants must be monitored every 15 minutes when sleeping, their breathing, temperature and color of skin should also be monitored. The licensee is advised to never shake a baby to prevent Shaken Baby Syndrome. Only children eating may be in high chairs and that car seats are utilized only for transportation.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020
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: TYRE FAMILY CHILD CARE
FACILITY NUMBER: 197410884
VISIT DATE: 01/29/2020
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The licensee was informed of the role and responsibilities of being a mandated reporter, renewal required every 2 years for a licensed child care provider, administrator, or employee ( www.mandatedreporterca.com ) Licensee has not completed training.

The licensee was informed that all adults living in or having access to the home are required to have fingerprint clearances with Department of Justice, FBI and Child Abuse Index prior to having contact with children. If the aforementioned is not adhered to, a Civil Penalty can be assessed immediately. Please advise your analyst of any person who will be visiting regularly or for longer than one week. The licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and licensing within the time frame specified by the regulation. The "Notification of Parent's Rights" (PUB394) poster must be posted in an area accessible to parents.

The licensee was informed of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.


New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

Update on Incidental Medical Services (IMS):
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.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020
LIC809 (FAS) - (06/04)
Page: 3 of 7
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: TYRE FAMILY CHILD CARE
FACILITY NUMBER: 197410884
VISIT DATE: 01/29/2020
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IMS Include: Blood-Glucose Monitoring for Diabetic Children, Administering Inhaled Medication, Administering Epinephrine Auto-Injectors, Glucagon Administration, Gastrostomy Tube Care (G-tube care), Insulin Injections Administration, Anti-Seizure Administration, and Emptying an Ileostomy Bag.
Incidental Medical Services (IMS) policy was discussed. For further 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
Currently, the facility does not provide Incidental Medical Services - IMS.

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. Appeals may be mailed to the following address:
El Segundo Child Care Program Regional Office
300 N Continental Blvd., Suite 290A MS, 29-13
El Segundo, CA 90245

Type B deficiencies were cited during today's inspection (see LIC 809Ds). The Licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days.

Exit interview conducted with Licensee. A copy of this report, notice of site inspection, Appeal Rights (LIC 9058), Confidential Names List (LIC 811) were given and explained during this inspection.

SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020
LIC809 (FAS) - (06/04)
Page: 4 of 7
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: TYRE FAMILY CHILD CARE
FACILITY NUMBER: 197410884
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/02/2020
Section Cited

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Operation of a Family Child Care Home. (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement was not met as evidenced by: based on LPA obser-
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vation, the inside and outside of the home (toilet room), den, kitchen, and backyard have severe clutter and are dirty. This poses a potential health and safety risk to children in care.
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shall clean toilet room near washer/dryer. Licensee shall remove tires, broken tiki table/chairs, coolers, glass table top, broken tent, washer and dryer from backyard by 3/2/2020 and provide proof to the department.
Type B
03/02/2020
Section Cited

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Operation of a Family Child Care Home. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. The licensee shall document the drills, including the
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date and time of each drill... This requirement was not met as evidenced by: based on LPA observation no fire drills conducted. This poses a potential health and safety risk to children in care.
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provide proof to the department by 3/2/2020.
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: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2020
LIC809 (FAS) - (06/04)
Page: 5 of 7
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: TYRE FAMILY CHILD CARE
FACILITY NUMBER: 197410884
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/02/2020
Section Cited

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Operation of a Family Child Care Home. Each family child care home shall have a current roster of children... This requirement was not met as evidenced by: based on LPA observation, the licensee did not have
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a current roster for enrolled children. This poses a potential health and safety risk to children in care.
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Type B
03/02/2020
Section Cited

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Operation of a Family Child Care Home. Poisons, detergents, cleaning compounds, medicines... which could pose a danger if readily available to children shall be stored where they are inaccessible to
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children. This requirement was not met as evidenced by: based on LPA observation medication and detergents were on the kitchen counter and living room. This poses a potential health and safety risk to children in care.
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Licensee shall provide proof to the department by 3/2/2020. Items were stored during this inspection but licensee must show proof of continuous proper storage of detergents and medication.
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: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2020
LIC809 (FAS) - (06/04)
Page: 6 of 7
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: TYRE FAMILY CHILD CARE
FACILITY NUMBER: 197410884
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/02/2020
Section Cited

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Personnel Requirements. (c) The licensee and other personnel... shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid...
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This requirement was not met as evidenced by: based on LPA observation, licensee's CPR/First Aid certification expired on 9/30/2019. This poses a potential health and safety risk to children in care.
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Type B
03/20/2020
Section Cited

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Availability of Information... On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider... or employee of a licensed child day care facility shall complete the mandated reporter training...
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This requirement was not met as evidenced by: based on Licensee's statements she has not completed the training. This poses a potential health and safety risk to children in care.
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understands she and all employees must renew the certification every two years as of the date of the original training conducted.
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: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2020
LIC809 (FAS) - (06/04)
Page: 7 of 7