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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495104
Report Date: 02/09/2023
Date Signed: 02/09/2023 01:22:42 PM

Document Has Been Signed on 02/09/2023 01:22 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:TAMAM FAMILY CHILD CAREFACILITY NUMBER:
197495104
ADMINISTRATOR:LIHI TAMAMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 793-3403
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
02/09/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:42 PM
MET WITH:Lihi TamamTIME COMPLETED:
01:37 PM
NARRATIVE
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On 02/09/2023 Licensing Program Analyst (LPA) Laticia Thompson conducted an unannounced facility visit to the above facility. LPA met with licensee Lihi Tamam. During today’s visit LPA observed the following deficiency, licensee Ex-Husband caring for children without a criminal record transfer. Licensee was issued a Type B violation (see 809-D attached.)

LPA provided Licensee with a copy of this report, Notice of Site Visit (LIC 9213) and Appeal Rights. LPA instructed licensee to post LIC 9213- Notice of Site Visit and a copy of this report. The Notice of Site Visit must be posted for 30 days. Failure to post required visit reports for 30 consecutive days will result in immediate civil penalty assessment of $100.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2023
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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Document Has Been Signed on 02/09/2023 01:22 PM - It Cannot Be Edited


Created By: Laticia S Thompson On 02/09/2023 at 01:01 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: TAMAM FAMILY CHILD CARE
FACILITY NUMBER: 197495104

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2023
Section Cited
CCR
102370(d)(2)

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102370 Criminal Record Clearance (d) All individuals subject to a criminal record review....to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility (2) Request a transfer of a criminal record clearance as specified in Section 102370(j) This requirement was not met as evidence by
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Licensee stated she will register with guardian and submit documentation and associate husband with facility. Licensee stated she will provide the deparment with proof of all required documentation of ex-husband criminal record clearance, health & safety certificate, mandated reporter certificate and immunizations.
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Licensee stated her ex-husband was caring for children with her assitant while she had to take care of an emergency, which poses a potential Health, Safety, or Personal Rights Risk to children in care.
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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:Rita Ramos
LICENSING EVALUATOR NAME:Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 02/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/09/2023


LIC809 (FAS) - (06/04)
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