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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419042
Report Date: 09/02/2021
Date Signed: 09/02/2021 04:18:45 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: 3DATE:
09/02/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Mary NyarkoTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) S. Tung and LPA D. Gibbs conducted an unannounced annual inspection to the above facility on 09/02/2021. LPA arrived at the facility at 1:30PM and met with the Licensee, Mary Nyarko, who guided analysts on a tour of the facility. Per Licensee, operation hours are 7:30AM to 7:30PM. There are four children that are currently enrolled. There were three children present upon arrival.

This is a one story duplex with two separate addresses. The left side (2906) is occupied by a tenant, and the right side (2908) is occupied by the Licensee. This duplex which consists of two bedrooms, one bathroom, kitchen, dining room, living room, and side yard with an outdoor playroom. The children use the bathroom in the hallway. LPA observed that there are no fireplaces. Per Licensee, areas off limits to children and parents include: both bedrooms, the laundry room behind the kitchen, and temporarily the side yard (due to painters painting). LPA observed the master bedroom to be closed but unlocked. Licensee locked the door and LPA recommended alternative methods to locking the door. The licensee provides food for children in care.



Individuals who reside in the home were noted and discussed. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed childcare home. Licensee states that there are no firearms 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 cellphone that is used and the cellphone stays at the facility during operation hours. There is ventilation and heating. Safe toys play equipment and materials were observed. *Cont. pg2
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Steven TungTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
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 4
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: 09/02/2021
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Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be locked in the laundry room behind the kitchen, though there were some cleaning compounds found underneath the kitchen sink with malfunctioning child-proof locks. Licensee had painter/handyman outside replace the child-proof locks. Poisons are locked in the laundry room and it is stored on a shelf above the laundry machines. The restroom that children use was observed to be safe and sanitary.

The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 12/08/2020, as indicated on service tag. Smoke and carbon monoxide detectors were tested and are operable.

Licensee states that she is not currently caring for infants. LPA observed 3 pack and play cribs in the living room. Licensee states that if an infant is enrolled, the infant will sleep in the living room where they are constantly supervised. LPA advised the Licensee that infants shall be placed on their backs for sleeping and shall be supervised. Infants shall be checked on every 15 minutes and the time of each 15-minute check shall be documented with child’s name and date. The LIC 9227 Individual Infant Sleeping Plan shall be completed for each infant up to 12 months of age. A copy of the LIC 9227 was provided to Licensee. A copy of the Provider Information Notice (PIN) 20-24 CCP: Recently Approved Safe Sleep Regulations in Effect was also provided to Licensee.

Currently, children are not using the side yard for outdoor play time. LPA's observed ladders and other painting equipment in the side yard. The outdoor play area was observed to be fenced.

The licensee is observed to be operating within the license capacity limitations. LPA did not observe any children left in parked vehicles. Car seats shall only be used for transportation. LPA did not observe any children sleeping in car seats.

**Report continues on Page 3**
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Steven TungTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: 09/02/2021
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The licensee and other personnel have completed training on preventive health practices including Pediatric First Aid and CPR. The licensee's Pediatric First Aid and CPR was issued on 03/18/2021. There are first aid supplies available. LPA advised that if a child shows signs of illness, he/she/they shall be separated from other children.

Children’s records were reviewed for emergency information and were observed to be complete with exception of one child's form that needs parent/guardian signature.

The licensee does have proof of immunization against influenza, pertussis, and measles.

LPA observed that the Licensee does have proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate on file.

LPA issued a Childrens/Staff Record Review(LIC 857 and LIC 859) to the licensee which documents staff and children’s files reviewed during this inspection.

There are no pets on the premises.

LPA did not observe any pools, spas, hot tubs, fish ponds, or similar bodies of water during the inspection.

Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.



LPA advised the licensee to access forms, regulations and quarterly updates online at: www.ccld.ca.gov. LPA also discussed the Provider Information Notices (PINS) on Safe Sleep Awareness: PIN 19-02-CCP, COVID FAQ - PIN 20-11-CCP, Required Lead Testing: PIN 20-01 CCP Effects of Lead Exposure, and Guardian User Account Access - PIN 20-20-CCLD.

**Report continues on Page 4**

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Steven TungTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: 09/02/2021
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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.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.



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 Nyarko, Licensee, including, but not limited to Appeal Procedures/appeal rights, Site Visit and agency’s consultative role.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Steven TungTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4