Community Care Licensing

Document Has Been Signed on 08/21/2024 04:00 PM - It Cannot Be Edited

FACILITY NAME:	SHUTE FAMILY CHILD CARE		FACILITY NUMBER:	334815391
ADMINISTRATOR/ DIRECTOR:	SHUTE, STACIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 673-4003
CITY:	CORONA	STATE: CA	ZIP CODE:	92879
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 12	CENSUS: 2	DATE:	08/20/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:36 AM
MET WITH:	Stacie Shute, Licensee		TIME VISIT/ INSPECTION COMPLETED:	11:25 AM

SUPERVISORS NAME: Aaron Ross LICENSING EVALUATOR NAME: Elyse Jones LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024

FACILITY NAME: SHUTE FAMILY CHILD CARE	FACILITY NUMBER: 334815391
	VISIT DATE: 08/20/2024

FACILITY NAME: SHUTE FAMILY CHILD CARE	FACILITY NUMBER: 334815391
	VISIT DATE: 08/20/2024

FACILITY NAME: SHUTE FAMILY CHILD CARE	FACILITY NUMBER: 334815391
	VISIT DATE: 08/20/2024

Link to Parent Document Below:

FACILITY NAME: SHUTE FAMILY CHILD CARE	FACILITY NUMBER: 334815391
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/20/2024

Type B

Section Cited

CCR

102417(g)(3)

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (3) Where children are less than five years old are in care, stairs shall be fenced or barricaded. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on the observation, the Licensee did not meet the above regulation which poses a potential Safety risk to the children in care. During facility tour the LPA observed stairs that were not barricaded with two children present under the age of five. Licensee stated the gate is usually up, however, the gate was not put up during the inspection.
	POC Due Date: 08/30/2024
	Plan of Correction
1 2 3 4	Licensee understands stairs must be barricaded when children under the age of five are present. Licensee agrees to submit a written statement of understanding and will submit it to the Department on or by POC due date of 8-30-2024.

Section Cited

	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

SUPERVISOR'S NAME: Aaron Ross LICENSING EVALUATOR NAME: Elyse Jones LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024

Link to Parent Document Below:

FACILITY NAME: SHUTE FAMILY CHILD CARE	FACILITY NUMBER: 334815391
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/20/2024

Type B

Section Cited

CCR

102417(g)(9)(A)1

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on the record review, the Licensee did not meet the above regulation which poses a potential Safety risk to the children in care. During the file review of facility records the LPA was unable to review an accurate fire drill log.
	POC Due Date: 08/30/2024
	Plan of Correction
1 2 3 4	Licensee understands a fire drill must be conducted at least once every six months and it must be documented accurately which reflects the month/day/year, length of fire drill and evacuation location. Licensee agrees to update roster and submit to the Department on or by POC due date of 8-30-2024.

SUPERVISOR'S NAME: Aaron Ross LICENSING EVALUATOR NAME: Elyse Jones LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024

Link to Parent Document Below:

FACILITY NAME: SHUTE FAMILY CHILD CARE	FACILITY NUMBER: 334815391
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/20/2024

Type B

Section Cited

HSC

1596.8662(b)(1)

(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
1 2 3 4	Based on the record review, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. During the file review of staff records the LPA was unable to review a current Mandated Reporter certificate for S1.
	POC Due Date: 08/30/2024
	Plan of Correction
1 2 3 4	Licensee understands all staff working with the children in care must have a current Mandated Reporter training. Licensee agrees to have S1 complete training and submit the certification of completion to the Department on or by the POC due date of 8-30-2024. Training can be completed at www. Mandatedreporterca .com

Type B

Section Cited

CCR

102416(c)

(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
1 2 3 4	Based on the record review, the Licensee did not meet the above regulation which poses a potential Health and Safety risk to the children in care. During the file review of staff records the LPA was unable to a current CPR/1st Aid certification for S2. During the inspection there were no other staff present with CPR/1st Aid training.
	POC Due Date: 09/15/2024
	Plan of Correction
1 2 3 4	Licensee understands there must be at least one staff present with Pediatric CPR/1st Aid training through an EMSA approved vendor. Certification of completion is due on or by POC due date of 9-15-2024.

SUPERVISOR'S NAME: Aaron Ross LICENSING EVALUATOR NAME: Elyse Jones LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024

Link to Parent Document Below:

FACILITY NAME: SHUTE FAMILY CHILD CARE	FACILITY NUMBER: 334815391
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/20/2024

Type B

Section Cited

CCR

102418(g)

(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on the record review, the Licensee did not meet the above regulation which poses a potential Health to the children in care. During the review of children’s files, the LPA was unable to review immunization records for C1.
	POC Due Date: 08/30/2024
	Plan of Correction
1 2 3 4	Licensee understands all children must have immunizations on file and available for review during the inspection. Licensee agrees to obtain immunization records for C1 and submit them to the Department on or by POC due date of 8-30-2024.

Type B

Section Cited

CCR

102417(g)(8)

(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on the record review, the Licensee did not meet the above regulation which poses a potential Safety risk to the children in care. During the file review of facility records the LPA was unable to a current facility roster.
	POC Due Date: 08/30/2024
	Plan of Correction
1 2 3 4	Licensee understands all children must be listed on the LIC 9040 Child Care Facility Roster. Licensee agrees to update roster and submit to the Department on or by POC due date of 8-30-2024.

SUPERVISOR'S NAME: Aaron Ross LICENSING EVALUATOR NAME: Elyse Jones LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024