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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700045
Report Date: 06/24/2022
Date Signed: 06/24/2022 03:40:52 PM


Document Has Been Signed on 06/24/2022 03:40 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:HANEY FAMILY CHILD CAREFACILITY NUMBER:
367700045
ADMINISTRATOR:HANEY, CASSANDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 910-3573
CITY:TWENTYNINE PALMSSTATE: CAZIP CODE:
92277
CAPACITY:14CENSUS: 10DATE:
06/24/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:Licensee, Cassandra HaneyTIME COMPLETED:
04:05 PM
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On June 24, 2022 a Case Management Legal/Non- Compliance Inspection was conducted by Licensing Program Manager (LPM) Claretta Yates, and Licensing Program Analyst (LPA) Babatunde Ibitoye for the purpose of serving a Temporary Suspension Order (TSO) to the Licensee Cassandra Haney. Upon arrival, there were 10 children present.

The Licensee Cassandra Haney was served with the following documents during today’s inspection:
1. Temporary Suspension Order (TSO)
2. Statement to Respondent
3. Government Code Statutes
4. Summary of Instructions for Licensee
5. Summary of Charges
6. Accusation
7. Request for Discovery
8. Notice of Defense (2)
The Licensee was advised she must inform all parents concerning the TSO by providing parents with Parent Packets. Licensee was provided 14 Parent Packets during the inspection

The Notice Closed for Business was posted on the front door of the facility. The licensee was advised the notice shall be posted until further notice by Order of the Director of the Department of Social Services.

Removal or concealment of this notice, while the Temporary Suspension order is in effect, is punishable as a misdemeanor with a fine of up to $500.00
The licensee was advised that she has fifteen (15) calendar days to respond to the TSO by mailing the Notice of Defense included in the TSO Packet.

Exit interview conducted with Cassandra Haney,. Licensee, appeal rights explained.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:
DATE: 06/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/24/2022
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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