198018631-11-8-2024-54-CC-JCUT-DATUWW-20241108145726

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018631
Report Date: 10/04/2024
Date Signed: 11/08/2024 02:58:16 PM

Document Has Been Signed on 11/08/2024 02:58 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	HEMPHILL FAMILY CHILD CARE		FACILITY NUMBER:	198018631
ADMINISTRATOR/ DIRECTOR:	LAVONNDA HEMPHILL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 663-9155
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90712
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	10/04/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:46 AM
MET WITH:	Licensee, Lavonnda Hemphill		TIME VISIT/ INSPECTION COMPLETED:	09:58 AM

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Licensing Program Analyst (LPA) Jonnisha Culbert attempted to perform an unannounced Annual Random Inspection at the facility noted above. LPA met with licensee Lavonnda Hemphill stated the purpose of today’s visit.

Per licensee, they are not caring for children now, but do not wish to inactivate license. LPA advised licensee to contact the department to inform them of future closure and operation dates.

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.

Due to personal reasons the Annual/Random visit will be performed and completed on a future date.

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

Exit interview conducted and report was reviewed with the licensee, Lavonnda Hemphill.

Valarie Cook	TELEPHONE: (323) 513-3858
Jonnisha Culbert	TELEPHONE: (323) 246-2016
	DATE: 10/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2024

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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