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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191609286
Report Date: 09/06/2019
Date Signed: 09/06/2019 09:12:52 AM

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:HOFFMAN FAMILY DAY CAREFACILITY NUMBER:
191609286
ADMINISTRATOR:TAMARA AND SIMON HOFFMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 371-6809
CITY:TORRANCESTATE: CAZIP CODE:
90503
CAPACITY:12CENSUS: 9DATE:
09/06/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Tamara HoffmanTIME COMPLETED:
09:30 AM
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On 9/6/19 at 8:30 AM Licensing Program Analyst (LPA) Angelica Ramirez arrived at the facility to conduct a Plan of Correction (POC) inspection. Upon arrival LPA met with licensee Tamara Hoffman. Also present during today's inspection are two of licensee's staff members and second licensee. All adults have a criminal record clearance per LIS. LPA observed nine children in care.

The deficiency cited on 7/29/19 and due by 8/29/19 is as follows:

Licensee shall remove the clothes, boxes, and similar items of clutter from the hallway and kitchen area by 8/29/19 and provide proof to the department.

During today's inspection LPA observed the hallway clear of clothes, boxes and clutter.
LPA also observed boxes cleared from the kitchen floors near the dining room. Pictures were taken of these areas. The deficiency is cleared during today's inspection and a letter is provided to the licensee along with this report.

An exit interview was conducted with licensee Tamara Hoffman. A copy of this report and notice of site inspection were provided to the licensee.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
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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