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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020429
Report Date: 09/12/2024
Date Signed: 10/04/2024 01:16:26 PM

Document Has Been Signed on 10/04/2024 01:16 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:SHIN FAMILY CHILD CAREFACILITY NUMBER:
198020429
ADMINISTRATOR/
DIRECTOR:		SANGHEE SHIN & INSEOK SHINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 733-0642
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
09/12/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Sanghee Shin TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced required inspection. Upon arrival LPA Lee met with licensees Sang and Inseok Shin who provided a tour of the facility. The following was observed.

Adults living in the home are the Licensee and co-Licensee, and 1 adult. Hours of operation are Monday-Friday 8AM-6PM. All areas identified on the facility sketch were inspected. This is a one-story home which consists of 3 bedrooms, 2 full restrooms, kitchen, living room, dining room, laundry room, & den (adjacent to dining room area), backyard (fenced) and front yard (not fenced). The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. The home has air conditioning throughout the house.

Areas off limits include: 2 bedrooms, master bathroom, kitchen, den, laundry room & front yard. Areas used by children include: Living Room, dining room, bedroom adjacent to living room, hallway bathroom, and backyard (fenced).

During the inspection, LPA observed that CPR for both licensees expire on 02/2026. Operational smoke and Carbon monoxide detector were throughout the home. Fire extinguisher was last serviced on 07/05/2024. LPA observed a drill log for emergency drills conducted. Last drill was conducted on 09/03/2024 per log.

Children's files were reviewed during this inspection.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2024
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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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: SHIN FAMILY CHILD CARE
FACILITY NUMBER: 198020429
VISIT DATE: 09/12/2024
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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 advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov

There were no deficiencies observed during the inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensees. Sang & Inseok Shin. Appeal rights discussed and explained.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC809 (FAS) - (06/04)
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