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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011159
Report Date: 08/27/2024
Date Signed: 08/27/2024 06:20:16 PM

Document Has Been Signed on 08/27/2024 06:20 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:NHEK FAMILY CHILD CARE HOMEFACILITY NUMBER:
198011159
ADMINISTRATOR/
DIRECTOR:		NHEK, BORYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 989-1710
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 2DATE:
08/27/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:45 PM
MET WITH:Bory Nhek, LIcenseeTIME VISIT/
INSPECTION COMPLETED:
06:45 PM
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An unannounced Case Management inspection was conducted today by Licensing Program Manager, (LPM) Valarie Cook, and Licensing Program Analyst (LPA) Dayna Chambers, for the purpose of serving a Temporary Suspension Order (TSO) and Immediate Exclusion for Richard Kersten. LPA observed 2 children in care. LPM Cook and LPA Chambers met with Licensee, Bory Nhek, with whom the Temporary Suspension Order was discussed. The following documents were reviewed, explained, and distributed to Licensee during this inspection:

· Temporary Suspension Order
· Order for Immediate Removal Prior to Hearing
· Statement to Respondent
· Statutes
· Summary of Charges
· Instructions for Licensees About the Summary of Charges
· Accusation (License Revocation, Exclusion Action, and Enhanced Civil Penalty Pursuant to Health and Safety Code Section 15973.58(f)(1)
· Notice to Respondent and/or Attorney of Record Regarding Statutes, Regulations, Written Directives, and/or Interim Licensing Standards
· Request for Discovery
· Notice of Defense (2)

LPM Cook served the following documents:
· Order to Individual of Immediate Exclusion from All Facilities: Richard Kersten.
· Order to Licensee of Immediate Exclusion from Facility for Richard Kersten.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE: DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2024
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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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: NHEK FAMILY CHILD CARE HOME
FACILITY NUMBER: 198011159
VISIT DATE: 08/27/2024
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LPM Cook advised Licensee that Richard Kersten is excluded from any and all facilities licensed by the Department of Social Services. Licensee and Richard Kersten have 15 days to submit an appeal. The address to appeal was provided.

Temporary Suspension Order – CLOSED FOR BUSINESS notice was posted adjacent to the front door entrance of the facility which is known as the primary day care entrance. The Licensee was advised that removal of this notice is punishable as a misdemeanor with a fine of up to $500.00. This notice shall be posted until further notice by the Order of the Director of the Department of Social Services. A copy of this Temporary Suspension Order will be mailed to the local Resource and Referral Agency. Any further communication should be directed to our Department’s Legal Division.


Exit Interview conducted and report was reviewed with the licensee, Bory Nhek.
Temporary suspension order was posted on the door and a photo was taken.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2024
LIC809 (FAS) - (06/04)
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