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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400609
Report Date: 07/18/2024
Date Signed: 07/18/2024 05:39:31 PM

Document Has Been Signed on 07/18/2024 05:39 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:SHULER FAMILY CHILD CAREFACILITY NUMBER:
198400609
ADMINISTRATOR/
DIRECTOR:		QUANISHA SHULERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 817-5733
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 5DATE:
07/18/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:10 AM
MET WITH:QUANISHA SHULER/ LICENSEETIME VISIT/
INSPECTION COMPLETED:
05:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Ashley Claderon conducted an unannounced random annual inspection at the facility noted above. LPA was granted entrance at facility by Licensee, Quanisha Shuler. LPA explained the purpose of the inspection.

The Licensee operates as a Large Family Day Care Home. The operating hours are Monday through Sunday from 12:00 AM to 11:58 PM. The Licensee cares for children ages: infant to 12 years old.

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) and front yard. Areas off-limits to children include: 3 bedrooms, kitchen, and garage. LPA observed a child safety gate installed in the kitchen.

Areas used by children were inspected for safety, comfort, heating, and cleanliness. The home has ceiling fans and a heating system. LPA did not observe fireplaces in the home. LPA observed living room transformed into a classroom setting, with age appropriate materials and toys. LPA Calderon observed kitchen area. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are made inaccessible in kitchen area, kitchen entrance has a baby gate in place. LPA Calderon observed at 10:28am Spectacide Bug Killer under kitchen sink, LPA informed Licensee any poisons are purchased and stored in the home are required to be locked with a key or combination lock. During visit poison was moved and stored in locked garage, deficiency cited.

(Page 1 /Continuation 809-C...)
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2024
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 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609
VISIT DATE: 07/18/2024
NARRATIVE
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Licensee stated having a volunteer assistant, volunteer not present during today's visit. LPA reviewed Facility LIS Personnel Summary ,volunteer not listed. LPA requested assistant to check on clearance via telephonically with LPA J.Culbet did not have sufficient information to locate individual. LPA requested Individual clearance documentation, Licensee was unable to provide documentation's. LPA gave a technical violation to ensure volunteer is fingerprinted cleared and associated. Per Licensee, volunteer was associated and cleared at previous licensed home, LPA stated to submit LIC9182 Criminal Record Clearance Transfer Request to licensing and LPA provided printed from. LPA also consulted Licensee on what records are needed for volunteers and advise to obtain before assisting at child care.At 12:24pm Licensee gave LPA child and staff records. Child #1 did not have a 15 min Infant Sleep Log, only record provided for Child #1 was LIC9227 Individual Safe Sleep Plan. Licensee was unable to provide/ locate records for Child #1, Child #4, Child #5 and Child #6, LPA Calderon unable to observe children's immunization records, LIC955A Parents Right, Identification and Emergency Contact, LIC282 Affidavit Regarding Liability Insurance, deficiency cited. Child # 2 and #3 had appropriate records in place but children where not observed at the facility during visit. LPA reviewed Licensee records, Pediatric First Aid and CPR expired on 7/2023, deficiency cited. Licensee was unable to provide Mandated Report Training Certificate and Per Licensee, needs to locate certificate, deficiency cited.

At 12:50pm LPA Calderon suggested TSP Program, Licensee stated is interested and to sign Licensee up for program to assist with facility operations. At a later time LPA will provide registration information to Licensee for enrollment.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
(Page 3/ Continuation 809-C...)
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC809 (FAS) - (06/04)
Page: 3 of 10
Document Has Been Signed on 07/18/2024 05:39 PM - It Cannot Be Edited


Created By: Ashley Calderon On 07/18/2024 at 02:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102425(j)(2)(C)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Infants up to 12 month of age who are sleeping in a position other than on their back.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Calderon observation of infant Child #1, was sleeping on a 'Bobbi Pillow' on the couch elevated and not sleeping flat on their back Per interview with Licensee, stated Child#1 has medical issues, LPA requested exemption documentation's, per Licensee unable to provide documentation's and needs to collect document from child's parent. , the licensee did not comply with the section cited above in [1] out of [1] persons which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/19/2024
Plan of Correction
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Licensee during time of visit immediately transferred Child #1 to a play yard. Licensee stated will speak to Child #1 mom who brings infant items for child. LPA provided Infant Safe Sleep Regulations 102425 and Pin 10-2024 to review.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2024


LIC809 (FAS) - (06/04)
Page: 4 of 10
Document Has Been Signed on 07/18/2024 05:39 PM - It Cannot Be Edited


Created By: Ashley Calderon On 07/18/2024 at 02:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.543
Licensure Requirements
Every family day care home for children shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPA did not observe a carbon monoxide device and per Licensee needs to get a new one as device broke, the licensee did not comply with the section cited above in [1] out of [1] objec] which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2024
Plan of Correction
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Licensee will purchase a carbon monoxide and show proof of device and recipet to LPA Calderon by POC due date.
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPA Calderon did not observe fire extenguisher service inspection tag or was not provided receipt of proof of purchase within 1 year, the licensee did not comply with the section cited above in [1] out of [1] objects, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2024
Plan of Correction
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Licensee will purchase a new fire extinguisher, or show proof of serviced inspection tag LPA Calderon by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2024


LIC809 (FAS) - (06/04)
Page: 5 of 10
Document Has Been Signed on 07/18/2024 05:39 PM - It Cannot Be Edited


Created By: Ashley Calderon On 07/18/2024 at 02:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPA Calderon observed poison Spectacide Bug Killer under kitchen sink, the licensee did not comply with the section cited above in [1] out of [1] item which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2024
Plan of Correction
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Licensee immediately removed poison and stored in locked garage.
Type B
Section Cited
CCR
102417(g)(10)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observed infant rocker no child in rocker, Licensee stated rocker brought to the facility by Child #1 parent , the licensee did not comply with the section cited above in [1] out of [1] persons which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2024
Plan of Correction
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Licensee stated will return infant rocker to Child #1, LPA regulations on prohibited items. LPA during visit placed rocker in off limit area.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2024


LIC809 (FAS) - (06/04)
Page: 6 of 10
Document Has Been Signed on 07/18/2024 05:39 PM - It Cannot Be Edited


Created By: Ashley Calderon On 07/18/2024 at 02:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(a)(3)
Infant Safe Sleep
(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPA Calderon did not see any fitted sheets avaiable for Child #1, the licensee did not comply with the section cited above in [1] out of [1] persons which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2024
Plan of Correction
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Licensee stated will purchase sheets for infants play yards/ cribs and in addition will ask parents to provide sheets, Licensee will provide pictures to LPA Calderon via mobile phone by POC due date.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation Licensee did not provide LPA Calderon during record review Mandated Reporter Training Certificate, the licensee did not comply with the section cited above in [1] out of [1] person which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2024
Plan of Correction
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Licensee will conduct Child Care Provider Mandated Reporter training, and will provide picture of certificate to LPA Calderon via mobile phone by poc due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2024


LIC809 (FAS) - (06/04)
Page: 7 of 10
Document Has Been Signed on 07/18/2024 05:39 PM - It Cannot Be Edited


Created By: Ashley Calderon On 07/18/2024 at 02:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPA Calderon observed expired CPR and First Aid , expired on 7/2023, the licensee did not comply with the section cited above in [1] out of [1] person which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2024
Plan of Correction
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Licensee will conduct Pediatric First Aid and CPR training and will send certificate by POC due date to LPA Calderon mobile phone.
Type B
Section Cited
CCR
102421(a)
Child's Records
(a) The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review LPA Calderon did not observe children's records for Child #1, Child #4, Child #5 and Child #6, per Licensee unable to locate, the licensee did not comply with the section cited above in [4] out of [6] persons which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/18/2024
Plan of Correction
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Licensee will locate and gather records for Child #1, Child #4, Child #5 and Child #6, Licensee will send pictures of records to LPA Calderon by POC due date.
LPA Calderon provided verbally list of records: LIC311D for licensee to use as guidance and LPA Calderon provided Entrance FCC checklist.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2024


LIC809 (FAS) - (06/04)
Page: 8 of 10
Document Has Been Signed on 07/18/2024 05:39 PM - It Cannot Be Edited


Created By: Ashley Calderon On 07/18/2024 at 02:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)(D)(c)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on LPA Calderon observation during record review Licensee was unable to provide 15 min sleep log for Child #1, the licensee did not comply with the section cited above in [1] out of [1] persons which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2024
Plan of Correction
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Licensee will provide 15 min sleep log of Child #1 sleep log by POC due date to LPA Calderon. LPA Calderon provided 15 min Sleep Log Sample for Licensee to use if they would like.
Type B
Section Cited
CCR
102423(a)(2)
Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPA observed outside back yard play area, LPA observed piles of high stacked storage containers approximately 3-5 ft, pile of recycled cans in plastic bags, motor vehicle bikes in backyard grass area, leaf blower and lawn mower. The licensee did not comply with the section cited above in [5] out of [5] objects which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/18/2024
Plan of Correction
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2
3
4
Licensee will rerrange back yard items that pose a danger to children in care and store in off limit areas, will add baby gates to the side runners of the home to store items. Pictures of backyard will be sent to LPA Calderon by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2024


LIC809 (FAS) - (06/04)
Page: 9 of 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609
VISIT DATE: 07/18/2024
NARRATIVE
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LPA discussed the safe sleep regulations with licensee 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 licensee 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.

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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. Based on today’s visit, Per California Code of Regulations Title 22, deficiencies provided on LIC 809-D pages. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form via email.

A notice of site visit was given via email and must remain posted for 30 days. Due technical issues with LPA Calderon's printer reports/ appeal rights will be provided via email.

Exit interview conducted and reports was reviewed with the licensee Quanisha Shuler.(End of Report.)

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC809 (FAS) - (06/04)
Page: 1 of 1
Document Has Been Signed on 07/18/2024 05:39 PM - It Cannot Be Edited


Created By: Ashley Calderon On 07/18/2024 at 04:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SHULER FAMILY CHILD CARE
FACILITY NUMBER: 198400609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
102425(d)
(b) Cribs or play yards shall be free from all loose articles and objects.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPA Calderon observed Licensee placing a light loose sheet for Child #1 for child to sleep on, Per Licensee does not have fitted sheets for play yard, the licensee did not comply with the section cited above in [1] out of [1] person which posesa potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2024
Plan of Correction
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Licensee during visit removed light loose sheet from crib, LPA informed Licensee no loose items in cribs and play yards for infant safe sleep practice and only use a fitted sheet.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2024


LIC809 (FAS) - (06/04)
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