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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018375
Report Date: 10/03/2024
Date Signed: 10/03/2024 02:52:50 PM

Document Has Been Signed on 10/03/2024 02:52 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:HOLCOMB FAMILY CHILD CAREFACILITY NUMBER:
198018375
ADMINISTRATOR/
DIRECTOR:		HOLCOMB, LEAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 531-6395
CITY:DUARTESTATE: CAZIP CODE:
91010
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
10/03/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:55 PM
MET WITH:Licensee Leah HolcombTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA) Saul Valenzuela conducted an unannounced POC (Plan of Correction) inspection to insured that the two Type B deficiencies cited on 08/16/2024 has been cleared. LPA met with Licensee Leah Holcomb, who guided analysts on a tour of the facility. Census was taken.

The following was observed:

- LPA observed Child #4 and #5 Emergency Information Card in children's file.

- LPA observed Child #1 Infant Safe Sleep Log in child's file.

LPA discussed Infant Safe Sleep Regulations with licensee, and provided a copy of the regulation to licensee.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiency on this date- LPA issued POC clearance letter during the visit.

During this inspection, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being 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 conducted and report was reviewed with Licensee, Leah Holcomb.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2024
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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