Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016449
Report Date: 07/11/2018
Date Signed: 07/11/2018 11:47:51 AM

COMPREHENSIVE INSPECTION
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:HUFFMAN FAMILY CHILD CAREFACILITY NUMBER:
198016449
ADMINISTRATOR:HUFFMAN, ANGELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 567-3647
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY:14CENSUS: 3DATE:
07/11/2018
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:22 AM
MET WITH:Angela HuffmanTIME COMPLETED:
12:00 PM
NARRATIVE
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Licensing Program Analysts (LPA) Warren Birks conducted an 3 Year Required inspection. LPA met with Licensee Angela Huffman who guided LPA on a tour of the facility. The licensee was caring for three (3) foster children under the age of 10 and two (2) adopted teenagers. There are two (2) children enrolled that attend in the evening. They are listed on the roster. The licensee indicated there are two (2) cleared adults residing in the home. The Licensee's adult daughter was visiting and left during the visit. She was cleared but not associated to Huffman Family Child Care.

This is a one-story home consisting of 4 bedrooms, 3 bathrooms, kitchen, living room, garage and backyard. All children's activities take place in a the dining room, one bedroom, bathroom and the side yard patio. All other rooms are "off-limits" to children. Outdoor play takes place in the side yard patio area.

All areas used by children were inspected for safety, comfort, cleanliness, ventilation and heating. The licensee states that there are no poisons in the home. The licensee understands that any poisons must be locked with a key or combination lock. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible. Per licensee, there are no weapons, firearms or bodies of water on the premises. The required 2A 10BC fire extinguisher last date of service us unknown. Smoke and carbon monoxide detectors are in operable condition. There are emergency supplies on the premises and a first aid kit.

The licensee understands that in her absence only qualified adults are able to supervise children. A qualified adult has a valid and current adult/infant CPR & Pediatric First Aid certification and a valid criminal record clearance associated to the facility license. The Licensee's adult daughter D. Huffman has a fingerprint clearance that is not associated to the facility. A civil penalty of $100.00 was assessed. Licensee's Pediatric First Aid and CPR expires September 2019. The Licensee will need to submit required Mandated Reporter training.

SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2018
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: HUFFMAN FAMILY CHILD CARE
FACILITY NUMBER: 198016449
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/11/2018
Section Cited
CCR
102370(d)(2)
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Criminal Record Clearance. Prior to working, or volunteering in a licensed home, all licensees and personnel as specified shall request a transfer of a criminal record clearance as specified in Section 102370 (j).

Licensee's adult daughter Diamond Huffman
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Licensee indicated she will appeal as she submitted an LIC 9182 Transfer form requesting to transfer Diamond Huffman's fingerprints to Huffman Family Child Care 198016449.
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(who resides in the home) has a fingerprint clearance however her clearance was not yet associated to the Huffman Family Child Care 198016449. A $100.00 civil penalty was assesed.
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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: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2018
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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: HUFFMAN FAMILY CHILD CARE
FACILITY NUMBER: 198016449
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2018
Section Cited
CCR
102417(g)(1)
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Fire extinguishers and smoke detectors shall meet State Fire Marshal standards.

Date of service for Fire extinguisher unknown.
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Licensee Huffman indicated that she will purchase a new extinguisher or service the extinguisher.
Type B
08/08/2018
Section Cited
HSC
1596.8662
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Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion.
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Licensee submit of proof of the required Mandated reporter training.
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*Licensee missing proof of Mandated Reporter Training
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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: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2018
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: HUFFMAN FAMILY CHILD CARE
FACILITY NUMBER: 198016449
VISIT DATE: 07/11/2018
NARRATIVE
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LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) form during this visit. These forms are required to be submitted to parents of current and future children for the next 12 months.

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 was conducted with Licensee Angela Huffman.

SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2018
LIC809 (FAS) - (06/04)
Page: 5 of 5
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: HUFFMAN FAMILY CHILD CARE
FACILITY NUMBER: 198016449
VISIT DATE: 07/11/2018
NARRATIVE
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The following children's records: Identification and Emergency, Immunization Records, Parent's Rights were reviewed.

There were NO ZERO TOLERANCE deficiencies cited during this visit. Zero Tolerance includes:


Absence of Supervision; Accessible Bodies of Water. No bodies of water on the premises; Accessible Firearms, Ammunition or Both. No firearms or weapons in the home; Refused Entry to a Facility or Any Part of a Facility in Violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g)(2); The Presence of an Excluded Individual. No excluded individuals; Children are not left in parked vehicles.

POSTING REQUIREMENTS: Parent’s Rights Poster was posted. SMOKING IS PROHIBITED IN A LICENSED FAMILY CHILD CARE HOME. No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines, and any other item that falls into that category are not permitted in the facility.

INFANT CARE: LPA advised the licensee to sleep infants on their backs where they can be directly supervised. If the licensee chooses to sleep infants in another room, the licensee is advised to conduct periodic checks and sleep them on there backs. LPA discussed the following. 1) Safe Sleeping Poster www.sidsandkids.org.

Medication: Incidental Medical Services (IMS) policy was discussed. Licensee does not provide IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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.

Note: The Licensee's facility was closed by mistake and reinstated earlier this year. As a result the Licensee and her spouse had to resubmit exemption transfer paperwork. The Licensee's spouse's clearance was approved on 7/9/18 and listed as ended 7/9/18. LPA and Licensee made attempts to contact Caregiver Background Check Bureau as the Licensee did not request that the association end. LPA to conduct a case management visit regarding this situation at a later date.

SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2018
LIC809 (FAS) - (06/04)
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