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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400176
Report Date: 08/05/2021
Date Signed: 08/05/2021 04:58:59 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/05/2021 04:58 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:HONG FAMILY CHILD CAREFACILITY NUMBER:
198400176
ADMINISTRATOR:HONG, JINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 800-4534
CITY:LOS ANGELESSTATE: CAZIP CODE:
90006
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
08/05/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Jin HongTIME COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced required inspection. Upon arrival LPA Lee met with Licensee Jin Hong who provided a tour of the facility. LPA Lee observed a total of 8 children at the facility. Per Licensee operation hours are Monday to Friday, 8:00AM to 6:00PM

All areas of the facility sketch were inspected. This is a two story home that consists of 3 bedrooms and 1 bathroom upstairs and storage room, dining room, living room, kitchen, and attached garage downstairs. . The following areas are used for day-care: living room and dinning room downstairs.

Licensee has the Parent’s Rights poster and other appropriate forms posted on wall in the living room. First Aid/CPR certificate are valid thru 12/2021. Licensee stated she has practiced fire/emergency drills with day-care children on 07/28/2021, providing LPA with disaster drill log. Licensee has a working telephone.

Detergents and cleaning supplies were observed to be inaccessible. Fire extinguisher has been purchased in the last year. Receipt shows the date of 12/08/2020 . There is an operational smoke detector and carbon monoxide in the home. The home has electrical outlet covers throughout and maintains a First Aid Kit. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee. Currently there are no pets

During the inspection Licensee was advised to refer to the California Department of Health's updated guidelines for Family Child Care Homes in regards to health and sanitary practices.

SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2021
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: HONG FAMILY CHILD CARE
FACILITY NUMBER: 198400176
VISIT DATE: 08/05/2021
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The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.

A qualified Assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility in a large family child care home.

No Deficiencies were cited on this visit

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs. LPA advised LIcensee to refer to Section 101173 and 101226 for further information on regulatory requirements. Regulation Interpretations and Procedures for Child Care Centers Section 102417. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.



LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

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.
SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
LIC809 (FAS) - (06/04)
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