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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401594
Report Date: 05/23/2019
Date Signed: 05/23/2019 02:13:29 PM

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:HUGHES FAMILY DAY CAREFACILITY NUMBER:
197401594
ADMINISTRATOR:ERNEST HUGHESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 217-1528
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY:14CENSUS: 0DATE:
05/23/2019
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Ernest Hughes & Dorothy HughesTIME COMPLETED:
02:20 PM
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On 5/23/19, Regional Manager (RM) Carla Caldwell, Licensing Program Manager (LPM) Jenny Ferreira, Licensing Program Analyst (LPA) Helen Estrella met with licensee Ernest Hughes and his wife Dorothy Hughes.

The purpose of the Office meeting was to discuss the conditions of the license and the current responsibilities of the provider which are to provide a safe environment for all the children in care. Currently, Ernest Hughes is the sole, responsible person for the operation of the family child care home. Currently, the license is issued to a sole individual who is Ernest Hughes.

RM Caldwell began discussing the topics from the prior Non-Compliance meeting, including the health medical evaluation that was submitted by Ernest Hughes on 2/27/19.

The RO reminded the licensee that he must have a Qualified Assistant at all times due to concerns and restrictions discussed from the Non-Compliance meeting held on 2/27/19. The RO determined that Dorothy Hughes may be added as Co-licensee to the facility. The licensee Ernest Hughes submitted a Family Child Care home application (LIC 279) to add Dorothy Hughes to the license.

The RO will issue a 90-day Provisional License to the facility while Dorothy Hughes completes and submits the Health & Safety Training Certificate and the Family Child Care Home orientation which will be held June 11, 2019 at the El Segundo Child Care Regional Office.

The licensee was informed that the Non-Compliance plan continues in effect and Co-licensee Dorothy Hughes was advised to review the Non-Compliance Plan from 2/27/19.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen EstrellaTELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HUGHES FAMILY DAY CARE
FACILITY NUMBER: 197401594
VISIT DATE: 05/23/2019
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Once Dorothy Hughes completes the aforementioned courses required of the application packet and licensing requirements have been met, Ernest Hughes agrees to submit a new application, with a declaration to the RO relinquishing responsibility as a family child care home provider and transferring the responsibility to his wife Dorothy Hughes. Dorothy Hughes agrees to become the sole, responsible licensee for the operation of the care and supervision once all licensing requirements are met. The RO intends not to disrupt the operation of the family child care home.

Upon review of the family child care home application received today, it was observed that Ernest Hughes is providing 24 hour care, 7 days per week. The RO informed the licensee Ernest Hughes and Dorothy Hughes to ensure appropriate napping equipment and furniture, foods/snack and close supervision are provided as required by the regulations.

A copy of this report was provided and exit interview conducted.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen EstrellaTELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2019
LIC809 (FAS) - (06/04)
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