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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494735
Report Date: 02/19/2021
Date Signed: 02/25/2021 09:22:38 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:KAUFMAN FAMILY CHILD CAREFACILITY NUMBER:
197494735
ADMINISTRATOR:TERESA KAUFMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 252-2621
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY:14CENSUS: 1DATE:
02/19/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:06 AM
MET WITH:Teresa KaufmanTIME COMPLETED:
11:00 AM
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On 2/19/2021 at 10:05 AM Licensing Program Analyst (LPA) Angelica Ramirez conducted a secondary pre-licensing tele-inspection with applicant Teresa Kaufman via Facetime due to the current public health crisis (COVID-19). This tele-inspection is for the purpose of observing the location of the weapons and ammunition in the home. Present during today's inspection is the applicant, Teresa Kaufman, and Ms. Kaufman's biological male son (age three).

As of 2/5/2021 the following corrections were submitted by Ms. Kaufman to LPA Ramirez:
  • Affixed screen added to fireplace in family room
  • Added latches to cabinets under kitchen sink and cabinet where knives are stored, also to cabinets under powder room sink
  • Added child proof knobs to stove/range
  • Case for weapons and ammunition are locked and LPA observed the weapon in a locked case placed behind a dresser and the ammunition in a locked case placed inside a cabinet, both in the off limits master bedroom. The master bedroom will remain locked (with lock and key) during hours of operation. LPA Ramirez obtained a signed declaration from Ms. Kaufman with her understanding that the bedroom must remain locked during hours of operation.

Based on this information, Ms. Kaufman is granted a license with a capacity of 14, effective today 2/19/2021. Exit interview was conducted with Ms. Kaufman. A copy of this report and all other Licensing reports must be made available to the public for three years.

A copy of this report was emailed to the applicant and it has been explained that a reply to this email shall be considered a substitute for the hard-copy signature.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Angelica RamirezTELEPHONE: (424) 301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2021
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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