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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400609
Report Date: 08/18/2022
Date Signed: 08/18/2022 03:06:30 PM

Document Has Been Signed on 08/18/2022 03:06 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:SHULER FAMILY CHILD CAREFACILITY NUMBER:
198400609
ADMINISTRATOR:QUANISHA SHULERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 817-5733
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
08/18/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Quanisha Shuler, LicenseeTIME COMPLETED:
03:26 PM
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On August 18, 2022 at 1:20 pm, Licensing Program Analysts (LPA) Susann Sanchez conducted an announced inspection at the facility noted above and met with Licensee, Quanisha Shuler. The purpose of the inspection was to conduct the pre-licensing inspection for a Change of Location. The Licensee is requesting to operate a Large Family Day Care Home. The operating hours would be Monday through Sunday from 12:00 AM to 11:58 PM. The Licensee is applying to care for children ages: infant to 12 years old. Pre-licensing Entrance Checklist (LIC 9280) was provided to the Licensee upon arrival. Individuals residing in the home were discussed and noted.

All areas identified on the facility sketch were inspected. This facility is a single family home that consists of three (3) bedrooms, one (1) bathroom, living room, dining room, kitchen, garage, backyard and front yard.

Areas that are accessible to children include: living room, dining room, one (1) bathroom and backyard (fenced). Per applicant, the children will utilize the backyard (fenced) for outdoor activity as well as Victoria Park which is a 5 minute walk from the facility.

Areas off-limits to children include: 3 bedrooms, kitchen, front yard and garage. LPA observed a child safety gate installed in the kitchen and in the hallway that leads to the bedrooms. All of the bedroom doors were observed to be closed and locked. The Licensee was advised that off-limit areas must be made inaccessible during operating hours. Children will have to walk through the hallway to get to the bathroom with the licensee. There is a wall heater located in the hallway.

Areas used by children were inspected for safety, comfort, heating, cleanliness and telephone service. The home has ceiling fans and heating. LPA did not observe fireplaces in the home. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are made inaccessible. Licensee was advised that if any poisons are purchased, it is required to be locked with a key or combination lock.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2022
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609
VISIT DATE: 08/18/2022
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Per Licensee, there are no pets, firearms, weapons or bodies of water on the premises. LPAs observed age appropriate toys and napping equipment for children. LPA observed electrical outlet covers throughout the facility. LPAs observed the required fire extinguisher (2A-10BC) that is fully charged. Licensee was informed to have the fire extinguisher serviced yearly. Smoke and carbon monoxide detectors were tested and are operable. A First Aid kit and emergency supplies are available and located in the living room. The Licensee was advised that if food is brought from the children’s home, all containers must be labeled with the child’s name and properly stored or refrigerated.

The Licensee has proof of pediatric First Aid/CPR certification (expires 07/2023). Licensee has proof of immunization against measles. Licensee has a declination for influenza on record.

Per Licensee will obtain copies pertussis and TB.

Licensee completed the required Preventative Health and Safety training 2016, and has enrolled with local Resources and Referral to retake course which will include the Nutrition and Lead components.

Mandated Reporter training (AB 1207) was completed on 08/18/ 2022. Licensee was advised that the mandated reporter training must be completed every 2 years and is available at www.mandatedreporterca.com.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee plans to provide care to infants if needed. LPA advised the Licensee to sleep infants where they can be directly supervised at all times and advised against sleeping infants in a separate room. The Licensee states the following supervision plan for infants: licensee states that infants will sleep in the living room where they will be provided direct supervision. LPA provided the applicant with a copy of Provider Information Notice (PIN) 20-24-CCP and the Individual Infant Sleeping Plan (LIC 9227) to the Licensee.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609
VISIT DATE: 08/18/2022
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Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22-02-CCP. 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

LPA provided the Forms and Records to Keep in your Family Child Care Home (LIC 311D). LPA provided Never Ever Shake a Baby flyer and explained form. LPA also a flyer that shows and explains Large Family Child Care Capacity. LPA also provided Technical Assistance for COVID-19.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PINs), Program Quarterly Update Newsletters and other important information communication platform.

LPA provided assistance to the applicant on how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Per Licensee, has a foster care licensee but is not operating at the moment. Licensee email address was obtained during this inspection. The licensee was advised that email may be public information.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609
VISIT DATE: 08/18/2022
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During inspection LPA collected the following:
  • photo of current CPR & First Aid
  • Property Owner/Landlord Notification LIC 9151
  • Property Owner/Consent LIC 9149
  • Mandated Reporter Training (AB1207)
  • Pre-licensing Readiness Guide (LIC 279)
  • Immuinizations: Measles
  • Facility Sketch- was corrected
  • lease agreement

There are no physical corrections needed at the facility. However, there are still paperwork corrections needed.
Paperwork corrections:
  • Immunization's: Tdap & TB


Licensee is in the process of updating Health & Safety Course to include : Lead and Nutrition. Licensee showed proof that she in enrolled for 08/28/22 at CPRfun.

Corrections are due by 09/01/22.



A final review of the application will be conducted by the Department. Once licensed, the licensee is required to adhere to the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with the Licensee, Shuler.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
LIC809 (FAS) - (06/04)
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