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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400609
Report Date: 08/19/2024
Date Signed: 08/19/2024 10:31:40 AM

Document Has Been Signed on 08/19/2024 10:31 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
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: 7CENSUS: 2DATE:
08/19/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:QUANISHA SHULER/ LICENSEETIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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Licensing Program Analysts (LPAs) Ashley Calderon and Dayna Chambers conducted an unannounced poc follow up inspection at the facility noted above. Arriving at the facility LPA's waited at the front door. LPAs at 9:33am observed Licensee Quanisha Shuler arriving at the facility. LPAs noticed (2) children with Licensee. LPAs was granted entrance at facility by Licensee, Quanisha Shuler. LPAs explained the purpose of the inspection.

LPAs conducted a tour of the home alongside with Licensee Shuler. LPAs reviewed active Drivers License as Licensee is providing transportation to children in care.

LPA's reviewed POC's, LPA reviewed (4) children records and it was noted that files are incomplete during visit. LPA gave a poc extension for children records by POC ex. due date of 8/23/24 to submit children's records. Child #3, was observed to be a infant.

During this visit no deficiencies were cited. A notice of site visit was given and must be posted for 30 days. An exit interview was conducted with Licensee Quanisha Shuler.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2024
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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