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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192001838
Report Date: 04/20/2023
Date Signed: 04/20/2023 03:46:45 PM

Document Has Been Signed on 04/20/2023 03:46 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:HEFFERNAN FAMILY CHILD CAREFACILITY NUMBER:
192001838
ADMINISTRATOR:HEFFERNAN, NORMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 632-3156
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
04/20/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Norma Heffernan, Licensee TIME COMPLETED:
04:00 PM
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On 04/20/2023 at 3:00 PM, Licensing Program Analyst (LPA) Katrina Chicote conducted an Unannounced Case Management inspection to follow up on an incident that was reported to The Department on 04/03/202. Upon arrival, LPA met with Norma Heffernan, Licensee, who provided LPA a tour of the facility inside and outside. Census was taken.

On 04/03/2023, an incident was reported to The Department where an individual trespassed onto the property. The facility reported this incident to the Department within the required 24 hours and submitted a written report within seven days, meeting Title 22 Regulation reporting requirements.

During this inspection, LPA interviewed Licensee who observed incident. Licensee states the incident occurred between 12:30pm to 1:00am and no daycare children was present at this time. Licensee called the police due to incident and provided a police report. LPA observed where incident took place, which was outside of home and in front of detached garage converted living space.

Based on LPA interview, observations, and record review, incident occurred outside of operating hours and no children were witness to event.

No deficiency cited.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and report was reviewed with the Licensee, Norma Heffernan.


Report Ends - Page 1 of 1
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2023
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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