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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410884
Report Date: 11/12/2021
Date Signed: 11/12/2021 01:02:21 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:TYRE FAMILY CHILD CAREFACILITY NUMBER:
197410884
ADMINISTRATOR:TYRE, TONI R.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 449-0221
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:14CENSUS: 0DATE:
11/12/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Toni TyreTIME COMPLETED:
01:15 PM
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:On 11/12/2021, Licensing Program Analyst (LPA) Lilllian Casillas conducted an unannounced Annual Required Inspection and met with Licensee, Toni Tyre. Days and hours of operation are Monday through Sunday, 12:00AM to 11:00PM.

LPA toured the inside and outside of the home and a census was taken. An Entrance checklist (LIC 126) was provided to Licensee at the start of today's inspection. Current facility sketch reviewed, and Licensee confirmed that the living room, den, bathroom 2 (1/2 bathroom located behind the kitchen), bedroom 3, dining room, kitchen, and backyard are the primary childcare areas. Off-limits areas are: bedroom 1, bedroom 2, bathroom 1 (accessible via bedroom 1), and garage.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition on the premises. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. There is a defunct fireplace in the living room and is made inaccessible as it is sealed off. There is a working fire extinguisher, smoke/carbon monoxide detectors, and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed. The outdoor play area in the backyard is fenced and there are no hazards to children present. Licensee confirms per the LIC855 on file the trampoline is used by Licensee's children only. Capacity as specified on the license is being maintained.

This facility does not provide care and supervision to infants. LPA reviewed all children’s files and observed files were complete with emergency information as required. Licensee’s Mandated Reporter Training was completed on 4/28/2021. Assistant associated to the facility has current Mandated Reporter Training certificates on file. Licensee’s pediatric CPR/First Aid expires on 03/2022. Assistant associated to the facility has current pediatric CPR/First-Aid. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2021
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: 11/12/2021
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Licensee's daughter/assistant (Andrea Edwards) resides at the facility part-time and has a criminal record clearance or exemption. There are no excluded individuals present at this home.

Safe Sleep


LPA discussed the safe sleep regulations with licensee 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.
Criminal Record Statement Family Child Care Homes
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.
Incidental Medical Services (IMS) policy
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
LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Staff interview conducted at 11:00AM.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations no deficiencies are cited.


An exit interview was conducted and a copy of this report was provided to Licensee, Toni Tyre. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2021
LIC809 (FAS) - (06/04)
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