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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191593040
Report Date: 02/06/2025
Date Signed: 02/06/2025 10:41:55 AM

Document Has Been Signed on 02/06/2025 10:41 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:SCHREIBER FAMILY DAY CAREFACILITY NUMBER:
191593040
ADMINISTRATOR/
DIRECTOR:		SCHREIBER, NANCYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 263-1145
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
02/06/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Nancy SchreiberTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 02/06/2025 at 9:25 am Licensing Program Analysts (LPAs), Carolyn Tuba and Monica Ruiz conducted an unannounced Proof of Correction (POC) inspection to ensure the deficiencies cited on 11/01/2024, during an annual visit had been corrected. A COVID risk assessment was conducted. LPAs met with Licensee, Nancy Schreiber. LPAs observed that there were 3 children in care.

LPAs observed that licensee had completed the Mandated Reporter Training certificate which expires 11/9/2024 and
LPAs reminded that the training needs to be done every 2 years. The following link http://www.mandatedreporterca.com/ was provided.

LPAs observed that the Licensee completed the Pediatric CPR/1st aid, EMSA approved which expires 1/11/2027.

LPAs observed emergency drill documentation was last completed on 01/07/2025. LPAs observed the Licensee’s Tdap immunization.

The Safe Sleep Plan form was completed by the parents for an infant in care who is under 12 months. LPAs observed that there were no loose articles, or anything attached to the play yards located in the bedrooms and did not observed Snuggle Me Sleeper. Licensee stated that the Snuggle Me Sleeper was returned to the parent. LPAs advised that if a Sleep Sack or any sleep device needs to be used then a waiver request would need to be submitted to the Department and would require a review and is not an automatic approval. LPAs

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: SCHREIBER FAMILY DAY CARE
FACILITY NUMBER: 191593040
VISIT DATE: 02/06/2025
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advised since there are two cats in the home that they should not be in the bedrooms while infant children are napping. LPAs consulted with the use of pacifiers that they can be used but during sleep time the pacifier requires it be not attached to the child’s clothing.


LPAs cleared the deficiencies on this date and issued Proof of Corrections (POCs) clearance letters during the visit.

At this time, there are no deficiencies being cited and the facility is now in compliance according to Title 22 Rules and Regulations.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Nancy Schreiber.

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SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC809 (FAS) - (06/04)
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