Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016449
Report Date: 08/08/2018
Date Signed: 08/08/2018 10:12:42 AM

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: 0DATE:
08/08/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Angela HuffmanTIME COMPLETED:
10:25 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analysts (LPA) Warren Birks conducted an unannounced Case Management inspection for the purpose of amended a previous July 11, 2018 Year Required inspection. LPA met with Licensee Angela Huffman who was caring for two fostercare children under 10 and children over 10. There were no childcare children present. During the inspection LPA spoke to DCFS Fingerprint Technician Dora. Technician Dora indicated that Licensee's adult daughter D. Huffman was fingerprint cleared and associated to the fostercare (same address as childcare) as of March 2018.

Thus, LPA amended the citation from an A to a B citation. The Licensee has already submitted clearance transfer paperwork for her adult daughter. LPA advised Licensee Huffman to ensure that all adults residing in the home or having access to the childcare be fingerprint cleared and associated.

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: 08/08/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2018
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1