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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842259
Report Date: 03/28/2022
Date Signed: 03/28/2022 02:25:28 PM

Document Has Been Signed on 03/28/2022 02:25 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:WHEELER FAMILY CHILD CAREFACILITY NUMBER:
334842259
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Raylene Wheeler-LicenseeTIME COMPLETED:
02:30 PM
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A case management inspection was conducted by Licensing Program Analyst (LPA) Andrea Taylor due to license has been inactive since 9/20. Licensee, Raylene Wheeler, is requesting her license be active.

LPA toured the childcare areas of the home during inspection.

Normal days and hours of operation are: Monday - Friday 6:30 AM to 10 PM

Facility Sketch and Emergency Disaster Plan are posted


Pediatric CPR and First Aid Card - current
Health & Safety Certificate -completed
Mandated Reporter Training-current
Current Covid Guidance
Incidental Medical Services (IMS) policy was discussed.

Criminal record clearances are required prior to all adults living or working in a Family Child Care Home. A civil penalty of $100.00 per day the person has been present, may be assessed. Resident and/or staff records reviewed on 3/28/2022 indicate that all adults who require caregiver background checks have received all required clearances or exemptions.

No corrections needed at this time. Licensee is in full compliance at time of the inspection and will open her Small Family Child Care Home with a maximum capacity of (8).

Exit interview was conducted with the Licensee, Raylene Wheeler. A copy of this report was left with the Licensee and a copy must be made available upon request, to the public, for 3 years.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2022
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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