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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409713
Report Date: 09/01/2022
Date Signed: 09/01/2022 03:31:40 PM


Document Has Been Signed on 09/01/2022 03:31 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:SCHUSTER FAMILY CHILD CAREFACILITY NUMBER:
197409713
ADMINISTRATOR:SCHUSTER, DENISEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 737-1768
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY:12CENSUS: 5DATE:
09/01/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Denise SchusterTIME COMPLETED:
03:45 PM
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On 9/1/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced Annual Required Inspection and was met by Assistant, Elena Santiago. Licensee arrived at approximately 1:55pm. Days and hours of operation are Monday through Friday, 8:00am to 5:00pm. LPA observed 5 children in care. Inspection was conducted in the Spanish language.

LPA toured the indoor and outdoor of the home. Licensee confirmed child care areas are: living room, dining room, bedroom 1, bathroom 1, and backyard. Off-limits areas are: bedroom 2, bedroom 3, kitchen, converted garage, and laundry room. The living room is the primary child care area, and LPA observed age-appropriate toys and learning materials. In the dining room, LPA observed 6 children's eating tables and 1 dining table with 6 chairs. Bedroom 1 includes 3 cribs and 1 pack n play. Bedroom 1 is used for napping infants. Older children sleep on mats in the living room. There are currently 2 infants in care. LPA discussed Safe Sleep Regulations with Licensee: There is one crib or play yard for each infant in care. Cribs and play yards are kept free from all loose articles and objects while infants are sleeping, and there are no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress, which includes but is not limited to: flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. LPA informed Licensee that LIC 9227 Individual Infant Sleeping Plan is required for each infant up to 12 months of age. LPA informed Licensee that Infants up to 12 months of age are to be placed on their backs for sleeping. Bathroom 1 includes 1 toilet, 1 sink, and 1 changing table. The kitchen is made inaccessible by a child safety gate and the garage can only be accessed via the kitchen or the backyard area that is also made inaccessible by a gate. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible in the laundry room, which can only be accessed via the kitchen. The 2A10:BC fire extinguisher and smoke/carbon monoxide detector is located in the kitchen.


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SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
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 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: SCHUSTER FAMILY CHILD CARE
FACILITY NUMBER: 197409713
VISIT DATE: 09/01/2022
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The backyard is fenced and there are no hazards to children present. LPA observed age-appropriate toys in safe condition. Part of the backyard is gated off as it leads to the garage, which is off-limits.

LPA reviewed a sample of children’s files and observed files were complete. Licensee’s Mandated Reporter Training was completed on 9/2022. Licensee’s pediatric CPR/First Aid expires on 2/5/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

Licensee was reminded that all adults 18 and over living or working in the home, 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. There are no excluded individuals present at this home.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are 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 the Licensee, Denise Schuster

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022
LIC809 (FAS) - (06/04)
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