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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419042
Report Date: 10/15/2019
Date Signed: 10/15/2019 02:17:41 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:NYARKO FAMILY CHILD CAREFACILITY NUMBER:
197419042
ADMINISTRATOR:NYARKO, MARY M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 731-2200
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:14CENSUS: 5DATE:
10/15/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Mary Nyarko, LicenseeTIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced annual random inspection to the above facility on 10/15/19 at 11:50. LPA was met by Florinda Reyes, Assistant, who guided analyst on a tour of the facility. Assistant informed LPA that licensee was out running errands and would be back soon. Licensee arrived at 12:00pm and took over the tour. Per Licensee, there are 14 children that are currently enrolled. A current children’s roster was not available for review. There were 5 children present upon arrival.

This is a one-story which consists of 2 bedrooms, 1 bathrooms, kitchen, dining room, living room, laundry room, back yard (fenced) and backyard play room. This home is a duplex. Second home on the property has a separate address 2906 10th Ave. This home is inaccessible to the children. Main care is provided in the living room and dining room areas. Kitchen is used for eating. The children use the bathroom in the hallway between the 2 off limit rooms. Per Licensee, areas off limits to children and parents include: 2 bedrooms and a locked portion of the backyard. The licensee provides food for children in care and some children bring their own food. LPA observed food available in the refrigerator. Hours of operation are Mon-Sat 4 AM-11:30 PM (schedules vary).

The licensee states that 1 adult currently lives in the home. Per Licensee, she currently has three assistants. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home. Licensee states that there are no firearms or weapons stored in the home.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a landline and a cellphone that is used at the facility during operation hours. There is ventilation and heating (fans and air conditioner).

The following was observed and reviewed during this inspection: ------------------Page 1
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NYARKO FAMILY CHILD CARE
FACILITY NUMBER: 197419042
VISIT DATE: 10/15/2019
NARRATIVE
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LPA issued a Confidential Names List (LIC 811) to the licensee which documents staff and children’s files reviewed during this inspection. All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. LPA observed that the last drill documented was conducted on 2/11/19.

Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted.

LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that fall into these categories are not permitted in a family child care facility.

Smoking is prohibited in a licensed Family Child Care Home. LPA did not observe anyone smoking in the home.

LPA discussed and provided the licensee with a copy of the Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and Helping you to reduce the risk of SIDS, updated Parent’s Rights Poster with Complaint Hotline information, Capacity Handout (Small & Large) and Never Shake a Baby pamphlet.

Incidental Medical Services (IMS):
The licensee states that she will provide IMS. Per licensee, there are no children enrolled that require IMS at this time. 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.

LPA advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.
-----Page 3
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NYARKO FAMILY CHILD CARE
FACILITY NUMBER: 197419042
VISIT DATE: 10/15/2019
NARRATIVE
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Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children. The licensee states that there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. The restroom that children use was observed to be clean and free of hazards.

The valve on the required 2A 10BC fire extinguisher indicates fully charged. At 12:10 LPA observed that the service tag says it was last serviced on 9/2017. Smoke and carbon monoxide detectors (dual) were tested at 12:34 PM and are operable.

The home is observed to be clean and orderly. There are toys and other age appropriate material available for children. Children nap on cots in the main care area. LPA observed 2 Infant playpen (Graco) are visible in main care area and are free of hazards.

Currently, children are using the back yard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that can pose a danger to children on the outdoor yard. At 12:40 PM LPA observed a new structure added to the backyard. Licensee informed LPA that she added a play room and a shade structure to the back yard recently. Per licensee, she did not notify the Regional Office of structural change which is a violation of Tittle 22. There are no pools or spas, or other bodies of water. There are no pets on the premises.

The licensee has completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR expires on 3/2021 LPA observed that assistant does not have proof of CPR. There are first aid supplies available.

Children’s records were reviewed, including emergency information and were observed to be complete.

The licensee does have proof of immunization against influenza, pertussis, and measles. LPA observed that assistant does not have proof of immunization's. LPA observed that the Licensee does have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file. Assistant does not have proof of AB 1207 due it not being in her primary language.

------Page 2
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
LIC809 (FAS) - (06/04)
Page: 2 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NYARKO FAMILY CHILD CARE
FACILITY NUMBER: 197419042
VISIT DATE: 10/15/2019
NARRATIVE
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The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Mary Nayarko, Licensee, including, but not limited to Appeal Procedures and Appeal Rights. -----------------------Page 4
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: NYARKO FAMILY CHILD CARE
FACILITY NUMBER: 197419042
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2019
Section Cited

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1596.7995 Employees...at day care center; immunization requirements;...Commencing September 1, 2016, a person shall not be employed...at a day care center...has not been immunized against influenza, pertussis, and measles.
This requirement was not met as evidenced by:
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Based on observation and record review licensee did not maintain proof of assistant's immunization's records at the facility. This poses a potential Health, Safety or Personal Rights risk to children in care.
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Type B
11/15/2019
Section Cited

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102417(g)(8)(A) Operation of a Family Child Care Home Each child day care facility shall maintain a current roster of children who are provided care in the facility...This roster shall be available to the licensing agency upon request.
This requirement was not met as evidenced by:
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Based on observation and record review licensee did not maintain a current Children's Roster at the facility This poses a potential Health, Safety or Personal Rights risk to children in care.
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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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 10/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2019
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: NYARKO FAMILY CHILD CARE
FACILITY NUMBER: 197419042
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2019
Section Cited

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102417(g)(1) Operation of a Family Child Care Home
The home shall contain a fire extinguisher which meet standards established by the State Fire Marshal.

This requirement was not met as evidenced by:
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Based on observation and interview, licensee did not maintain the service tag on the fire extinguisher within the year. LPA observed fire extinguisher was last serviced on 9/2019 which poses a potential Health, Safety or Personal Rights risk to children in care.
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Type B
11/15/2019
Section Cited

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102417(9)(a) Operation of a Family Child Care Home
Each family child care home shall conduct fire drills and disaster drills at least once every six months.
This requirement was not met as evidenced by:
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Based on observation and interview, licensee did not conduct an emergency drill within the last 6 months. LPA observed last drill conducted 2/11/19, which poses a potential Health, Safety or Personal Rights risk to children in care.
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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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 10/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2019
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: NYARKO FAMILY CHILD CARE
FACILITY NUMBER: 197419042
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/15/2019
Section Cited

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102416(c) Personnel Requirements
The licensee and other personnel...shall complete training...including pediatric cardiopulmonary resuscitation and pediatric first aid...
This requirement was not met as evidenced by:
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Based on observation and record review licensee did not maintain proof of assistant's CPR training at the facility, which poses a potential Health, Safety or Personal Rights risk to children in care.
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Type B
11/15/2019
Section Cited

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102416.3(a)(1) Alterations to Existing Buildings or Grounds(a) Prior to making alterations...the licensee shall notify the Department of the proposed changed...Conversion..."child care" room.
This requirement was not met as evidenced by:
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Based on observation and interview licensee did not notify licensing before she made an addition to the outside yard. LPA observed a play room built in the play yard, which poses a potential Health, Safety or Personal Rights risk to children in care.
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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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 10/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2019
LIC809 (FAS) - (06/04)
Page: 7 of 7