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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016449
Report Date: 06/01/2023
Date Signed: 06/01/2023 11:56:28 AM

Document Has Been Signed on 06/01/2023 11:56 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
MONTEREY PARK S WEST, 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: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
06/01/2023
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Angela Huffman, LicenseeTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA) Denise Gibbs conducted a collateral visit on 6/1/23 at 10:40AM. The purpose of the this visit is to obtain signatures for a previous virtual Noncompliance Conference. LPA was initially met by Jasmine Smith and Daija Butler, Assistants. Licensee Angela Huffman arrived at 11:45AM.

There were six children and two adults present.

LPA reviewed the Noncompliance report with licensee and obtained signatures.

No deficiencies were observed today 6/1/23.

Exit interview was conducted with Angela Huffman, Licensee.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Denise Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2023
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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