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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016449
Report Date: 03/21/2024
Date Signed: 03/21/2024 02:51:07 PM

Document Has Been Signed on 03/21/2024 02:51 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: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:
03/21/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Anegla Huffman, LicenseeTIME COMPLETED:
03:00 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Ashley Calderon and LPA Susann Sanchez conducted a Case Management inspection. Upon arrival LPA's met with Licensee Angela Huffman.

Upon arrival LPA's noticed construction being done in the living room. Tour was given at 10:00am.
During visit LPAs observed construction workers, working in the dining room. Per Licensee, facility had a pipe that broke. Construction started on Thursday 03/14/2024 and will end estimate date, Saturday the 23rd of March 2024. Construction workers stated that they have no interaction with the children and usually put tarp to block the area. Per construction workers they are there on and off from Monday through Saturday from 9am to 5pm. Licensee current plan during construction is to have the children eat outside and they sleep in bedroom #1 & #2. LPAs toured all the facility including "off limit" areas. Licensee was reminded that all construction needs to be reported to Licensing. Reporting Requirements was cited.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview conducted and report was reviewed with the Licensee,Huffman.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2024
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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Document Has Been Signed on 03/21/2024 02:51 PM - It Cannot Be Edited


Created By: Ashley Calderon On 03/21/2024 at 02:05 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HUFFMAN FAMILY CHILD CARE
FACILITY NUMBER: 198016449

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/25/2024
Section Cited
CCR
102416.2(a)

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102416.2(a) Reporting Requirements (a)The licensee shall report the following information the Department by telephone or fax within the Department's next business day and during normal working hours (8am to 5pm). The requirement was not met as evidenced by: based on LPAs observations. Licensee did
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Per Licensee understands that reporting requirements are important and stated to the LPA that she understands that all incidents that affect her facility must be reported to the department within 24 hours.
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not report contruction in the home. This poses a potential risk to the health and safety of 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:Valarie Cook
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2024


LIC809 (FAS) - (06/04)
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