198016449-6-2-2021-54-CC-SSAZ-C3LSH7-20210602135304

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016449
Report Date: 06/02/2021
Date Signed: 06/02/2021 01:53:23 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	HUFFMAN FAMILY CHILD CARE		FACILITY NUMBER:	198016449
ADMINISTRATOR:	HUFFMAN, ANGELA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 567-3647
CITY:	CARSON	STATE: CA	ZIP CODE:	90746
CAPACITY:	14	CENSUS: 6	DATE:	06/02/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:06 PM
MET WITH:	Angela Huffman, Licensee		TIME COMPLETED:	02:10 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	At 11:40 a.m, on June 02, 2021, Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced Required - 1 Year site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with staff Jasmine Smith and gave Licensee a tour of the facility. Additional individuals residing in the home have criminal record clearance on file. There were (2) children and (4) infants present. Licensee arrived at 12:05.The facility roster was reviewed and is current. Licensee’s operating hours are from 12:00 a.m. to 11:50 p.m. fpm rom Monday through Sunday. The home consists of 4 bedrooms, 3 restrooms, living room, kitchen, day care room back yards (2) garage, and front yard. Areas that are accessible to children include: one bathroom, day care room, living room, side backyard (attached to living room), and kitchen. Areas off limits to children and parents include: All bedrooms, 2 bathrooms, the other backyard (attached to the kitchen), garage, and front yard. There are no firearms, poisons, or bodies of water present on the premises as stated by Licensee. There are adequate age appropriate toys, books, and games. There is proper ventilation through the home provided through an portable air conditioning. No hazards of violations were observed in the kitchen. Knives, sharp objects, detergents, and cleaning compounds are stored in the off-limit bathroom, which is inaccessible. The bedroom used by the children was inspected for safety and cleanliness. No hazards or violations were observed. LPA inspected the bathroom used by the children. No hazards or violations observed. First Aid supplies are available. Licensee has the Parent’s Rights poster and other appropriate forms posted on a board in the day care room. The smoke detector and an operational carbon monoxide detector in the home. Licensee's disaster drill log notes last drill conducted on 06/02/2021. Licensee has a working telephone. LPA observed two guinea pigs in the day-care room.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HUFFMAN FAMILY CHILD CARE	FACILITY NUMBER: 198016449
	VISIT DATE: 06/02/2021

NARRATIVE

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The outdoor play area was inspected for safety. LPA observed age appropriate toys and equipment available to children in care.

Children’s files were reviewed for proper documentation and found to be complete. Licensee, Angela Huffman First Aid/Infant CPR certificates are valid through 02/2022. Mandated Reporter is valid until 02/06/2022.

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately.

LPA discussed Department of Public Health, Early Care and Education Guidance COVID-19 recommendations.PIN 20-24 and PIN 21-08 were given and explained.

No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. At 11:44, LPA observed an infant on a bouncer. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting. LPA discussed Safe Sleep regulations and practices. LPA reviewed SIDs and Never Shake A Baby information. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

A qualified Assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility in a large family child care home.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2021

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HUFFMAN FAMILY CHILD CARE	FACILITY NUMBER: 198016449
	VISIT DATE: 06/02/2021

NARRATIVE

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LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

Exit interview was conducted with Licensee, Angela Huffman, Licensee. The Licensee was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

Based on this information, the following deficiencies listed on the attached LIC 809d are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

Exit interview was conducted with Licensee, Angela Huffman. The Licensee was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

A copy of the LIC 9213 was given to licensee—Notice of Site Visit. The Notice of Site Visit (LIC 9213) – must
remain posted for 30 days during the hours of operation after each site visit by a licensing representative.
Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2021

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HUFFMAN FAMILY CHILD CARE	FACILITY NUMBER: 198016449
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/02/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/03/2021 Section Cited	1 2 3 4 5 6 7	Operation of a Family Child Care Home. A baby walker is not permitted on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c). LPA observed a bouncer item in the day care. This is a potential risk to Health and Safety to children and infant in care.
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2021

LIC809 (FAS) - (06/04)

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