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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198600487
Report Date: 04/26/2024
Date Signed: 06/25/2024 03:42:09 PM

Document Has Been Signed on 06/25/2024 03:42 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 CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:CHOICES R US - BUELLFACILITY NUMBER:
198600487
ADMINISTRATOR/
DIRECTOR:		BRADFORD, SHAJUANAFACILITY TYPE:
735
ADDRESS:11302 BUELL STTELEPHONE:
(562) 864-5018
CITY:DOWNEYSTATE: CAZIP CODE:
90241
CAPACITY: 3CENSUS: 3DATE:
04/26/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Lakita Joubert/Shajuana BradfordTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced Required 1 year inspection at the facility and met with Administrator Shajuana Bradford and explained the purpose for todays visit. The facility phone number is 562 864 5018.

The facility consist of 3 bedrooms, 1 bathrooms, 1 living room, dining room, kitchen/office area, back yard with out side shaded area, and a garage.

LPA Wesley conducted a complete tour of the facility, and observe the supply of food. Resident medications, and medication logs were reviewed. The smoke detectors/carbon monoxide detector are operable. LPA observed one fire extinguisher in the kitchen. The water temperature was tested and measured 110.7 degrees F. The last fire drill was conducted on 04/02/24. LPA Wesley requested a copy of the infection control package and proof of insurance. Administrator sent the infection control to their assigned LPA already. LPA Wesley received proof of insurance via email.

Administrators certificate for Shajuana Bradford #7002048735 expires on 09/04/2025.

There are no deficiencies cited.

A copy of the LIC 809 was given during the exit interview.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Nicol Wesley
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2024
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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