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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191609286
Report Date: 12/05/2023
Date Signed: 12/05/2023 06:17:15 PM


Document Has Been Signed on 12/05/2023 06:17 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: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: 7DATE:
12/05/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Licensee, Tamara Hoffman TIME COMPLETED:
03:30 PM
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On 12/05/2023 at 10:40am, Licensing Program Analyst (LPA), Sarah Garcia conducted an unannounced Required Inspection at the above-mentioned facility. LPA was greeted by licensee, Tamara Hoffman. Present during today’s inspection were two assistants and licensee's son. All adults are fingerprint cleared. During the initial inspection, LPA observed 7 children in care.

Facility operates Monday through Friday from 7:00 a.m. to 5:30 p.m. Currently licensee is available to care for children 1 years old to 5 years old. Facility is Large Family Child Care Home with a max capacity of 12. Licensee does not provide transportation to the children.

LPA toured the home inside and outside. The home is a two-story home with 4 bedrooms and 3 bathrooms, living room, dining room, kitchen area, family room, laundry room, office/loft, outdoor area, attic, and garage. Licensee confirmed the following areas are designated for day care only: family room, bathroom #1, and outdoor area. The bathroom #1 that children use is located in the hallway outside the living room. LPA inspected the bathroom #1 and did not observe any medications, cleaning compounds, or shampoos that could pose a potential risk to children in care. LPA inspected the living room and observed the space to be clean and orderly. LPA inspected the dining room and observed the space to be clean. LPA observed the fireplace to be properly barricaded with a safety lock. LPA advised licensee to place the sharp objects on the top cabinet to ensure inaccessible to children in care. LPA observed licensee place knives and sharp objects on the top cabinet. LPA observed the medications on the top cabinet making it inaccessible to children in care. LPA observed a safety lock under the kitchen sink cabinet to ensure all poisons, detergents, cleaning compounds, and other items which can pose a risk to children in care made inaccessible. LPA inspected the kitchen and observed the knives on the counter.LPA observed a safety gate at the entrance of the family room. LPA inspected the family room and observed the space to be clean and orderly. LPA observed mats and a play yard to utilize for sleep. LPA observed a safety gate at the foot of the stairs leading to the second floor.


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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah GarciaTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2023
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HOFFMAN FAMILY DAY CARE
FACILITY NUMBER: 191609286
VISIT DATE: 12/05/2023
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The following areas are OFF LIMITS to the children in care: Bedroom #1, Bedroom #2, Bedroom #3, bathroom #2, laundry room, and garage located on the first floor. Master bedroom, living room, master bathroom, office/loft, and attic located on the second floor. The entire second floor is off-limits.

Per licensee, there is (1) dog in the home. LPA discussed the importance of making sure that parents know program has pets in the home. Dogs remain locked in off limits bedroom in the home.
LPA inspected the outdoor area and observed safe toys and play equipment. Outdoor area is clean and free from debris. The outdoor area is properly fenced and supervised at all times.

All electrical outlets were observed to be covered. LPA reminded licensee to ensure all areas that have been designated as OFF LIMITS need to have doors closed, locked, and made inaccessible when children are present. LPA observed door knob covers on the following areas: laundry room, bedroom #1, bedroom #2, bedroom #3, and bathroom #2.



There are no bodies of water on the premises. Per the licensee, there is a firearm on the premise. LPA observed the locked firearm in a storage case in the attic on the second floor. Per the licensee, the firearm is kept separate from the ammunition.

LPA observed licensee test the carbon monoxide and smoke detector in the home. One charged fire extinguisher was observed, 3:A40:BC. Licensee confirmed program provides meals and snacks. LPA discussed the importance of maintaining a system where allergies and food restrictions are noted. LPA observed a first aid kit with a working thermometer. When a child is ill licensee will separate them in the kitchen area.

Licensee currently does not administer medication. Adequate heating and ventilation for safety and comfort were observed in the space. The home has working telephone service and LPA confirmed the phone number (310) 779-8520.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

Capacity as specified on the license is being maintained during today’s inspection.

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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah GarciaTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2023
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HOFFMAN FAMILY DAY CARE
FACILITY NUMBER: 191609286
VISIT DATE: 12/05/2023
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LPA reviewed 6 children’s files and observed files to be incomplete. LPA observed 2 out of 6 children's files to be missing immunization's. LPA will develop a Plan of correction (POC) with licensee. LPA observed the LIC 9040 and LIC 610A. LPA instructed licensee to document the earthquake and fire drill log. LPA provided sample log to licensee. LPA discussed all necessary forms needed in each children’s file and provided licensee with the LIC 311D- Records to be maintain in the facility and provided licensee with a current copy to use as a reference when auditing files.

LPA reviewed Licensee’s CPR and First certification and observed certification with an expiration date of 3/2025. Licensee does not have correct pediatric CPR. Licensee will complete Pediatric CPR and first aid and submit to LPA via email by 12/11/2023. Licensee’s Mandated Reporter training certificate expired on 01/2020. Licensee will complete the mandated reporter training at www.mandaterreporterca.com and send certificate to LPA via email by 12/11/2023.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.



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. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.
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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah GarciaTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2023
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HOFFMAN FAMILY DAY CARE
FACILITY NUMBER: 191609286
VISIT DATE: 12/05/2023
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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee, Tamara Hoffman confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809D) Licensee was provided with a copy of appeal rights.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report along with appeal rights was reviewed with the licensee.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/nforesources/community-care-licensing/inspection-process.

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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah GarciaTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2023
LIC809 (FAS) - (06/04)
Page: 4 of 10
Document Has Been Signed on 12/05/2023 06:17 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: HOFFMAN FAMILY DAY CARE
FACILITY NUMBER: 191609286

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(g)
Administration of Child Day Care Licensing
(g) The licensee shall document each child's immunization as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above, 2 out of the 6 children's files did not have immunization records which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/08/2023
Plan of Correction
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Licensee will obtain the (2) children's immunization record and place in child's file by 12/08/2023. Licensee will provide a copy of the children's immuniztaion records via email at sarah.garcia@dss.ca.gov by 5pm on 12/08/2023.
Section Cited
Immunizations
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah GarciaTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2023
LIC809 (FAS) - (06/04)
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