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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016449
Report Date: 05/18/2023
Date Signed: 05/18/2023 11:41:16 AM


Document Has Been Signed on 05/18/2023 11:41 AM - It Cannot Be Edited

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 CAREFACILITY NUMBER:
198016449
ADMINISTRATOR:HUFFMAN, ANGELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 567-3647
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY:14CENSUS: 6DATE:
05/18/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Jasmine Smith, LicenseeTIME COMPLETED:
12:01 PM
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Licensing Program Analysts (LPA) Susann Sanchez conducted a Case Management inspection. Upon arrival LPA met with Licensee assistant Jasmine Smith. The purpose of today's inspection is obtain information regarding individuals associated to the facility. There five children and one infant present when LPA arrived. Tour was given at 9:35am by Jasmine Smith. Licensee Angela Huffman arrived at 10:20am. LPA obtained a copy of the roster.

LPA discussed the following:
  • Individuals associated to the facility and their roles.
  • Hours of Operation
  • Overnight care
  • Updating facility sketch
  • TSP- referral

LPA reminded Licensee of the following:
  • No sleeping or eating in the garage.
  • Children need to be fully supervised when their outside.
  • All "off limit" areas need to be blocked.

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. Exit interview was conducted with Licensee Huffman.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Susann SanchezTELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:
DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/18/2023
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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