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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495229
Report Date: 07/03/2024
Date Signed: 07/03/2024 04:12:39 PM

Document Has Been Signed on 07/03/2024 04:12 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:KOVACS FAMILY CHILD CAREFACILITY NUMBER:
197495229
ADMINISTRATOR/
DIRECTOR:		SZILVI KOVACSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 844-5840
CITY:LOS ANGELESSTATE: CAZIP CODE:
90066
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
07/03/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On 07/04/2024 Licensing Program Analyst (LPA) Lisa Clayton arrived at the Family Child Care home unannounced, to conduct a Case Management – Other inspection. LPA Clayton was greeted by Ivy Escalante. LPA Clayton observed Ivy supervising 3 children. Ivy reported that the Licensee is out of the country visiting her family.

Later teacher Karla arrived, introduced herself and stated that she is running the “school” in the licensees absence.

Neither staff have the required CPR/First for Childcare providers. Assistant Karla needs a fingerprint clearance and association for this family child care home. Both the children’s and staff file are inaccessible for review.

Per Title 22 Regulations and Health and Safety Codes Deficiencies were cited today see LIC 809D.

An exit interview was conducted. A copy of this report (LIC 809) and Notice of Site Visit were provided to assistant/teacher Karla Ovalle.

Notice of Site visit must remain posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2024
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 3
Document Has Been Signed on 07/03/2024 04:12 PM - It Cannot Be Edited


Created By: Lisa Clayton On 07/03/2024 at 03:37 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KOVACS FAMILY CHILD CARE
FACILITY NUMBER: 197495229

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/03/2024
Section Cited
CCR
102370(d)

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(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:
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Licensee is to ensure that all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility.
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This requirement was not met as evidenced by: LPA Clayton spoke to teacher Karla Ovalle who stated that she is in charge of the FCCH while licensee is on vacation, and she does not have a current fingerprint clearance per Guardian.
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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:Karren Starks
LICENSING EVALUATOR NAME:Lisa Clayton
LICENSING EVALUATOR SIGNATURE:
DATE: 07/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 07/03/2024 04:12 PM - It Cannot Be Edited


Created By: Lisa Clayton On 07/03/2024 at 03:46 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KOVACS FAMILY CHILD CARE
FACILITY NUMBER: 197495229

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/08/2024
Section Cited
CCR
102416(c)

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(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
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Licensee will ensure that all staff have other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
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This requirement was not met as evidenced by: LPA Clayton observation that the staff members providing care in the licensees absence do not have either current CPR/First Aid, or the completed CPR?First Aid classes required by the department.
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Type B
07/03/2024
Section Cited
CCR102416.2(a)(2)

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(a) The licensee shall report the following information the Department by telephone or fax....... (2) Any change in household composition including adults moving in or out of the home and anyone living in the home who reaches his or her 18th birthday.
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Licensee shall report any change in household composition including licensee going on vacation for an extended period of time.
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This requiremet was not met as evidenced by: Licensee failure to notify the Department of plans to leave the Country, and leave staff to provide care in her absence.
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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:Karren Starks
LICENSING EVALUATOR NAME:Lisa Clayton
LICENSING EVALUATOR SIGNATURE:
DATE: 07/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2024


LIC809 (FAS) - (06/04)
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