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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017228
Report Date: 05/03/2024
Date Signed: 06/05/2024 12:54:38 PM

Document Has Been Signed on 06/05/2024 12:54 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:NICHOLAS FAMILY CHILD CAREFACILITY NUMBER:
198017228
ADMINISTRATOR/
DIRECTOR:		NICHOLAS, SHAMEKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 788-0855
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
05/03/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Licensee - Shameka NicholasTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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A Supervisory Meeting was held today 05/03/24 at 10:00 AM via Microsoft Teams to discuss an appeal received for a citation issued on 02/27/24 regarding personal rights and how children in care interact with the licensee’s pet dogs. Present at this meeting was the Licensee, Shameka Nicholas. Also present was Licensing Program Manager (LPM), Denise Gibbs, and Licensing Program Analyst (LPA) Randy Derraco.

The Department has reviewed the facility's history, and last complaint dated 11/30/23. The facility's history revealed that the allegations on the complaint dated 11/30/23 were unsubstantiated, however during the course of the investigation, information was provided that children in care have been bitten by the licensee’s pet dogs.

During this meeting the following was discussed:
· A canine training program provided by licensee and other dog owners (Caring4Canines) involving daycare children commingling with pet dogs.
· Amount of pet dogs owned by the licensee.
· How dogs are kept separated from children while children are in care.
· Supervision of children when dogs are commingling.
· How new enrollees are introduced to pet dogs.
· Explanation and expectation of licensee and parents for LIC 9224 – Acknowledgement of Receipt of Licensing Reports.
· The effects of licensee and parents re-interviewing children after LPA conducted an investigation at the facility.
· Roles and responsibilities of a licensee when a facility’s operating hours are 23.5 hours.
· The Licensee was advised to take, Health & Safety: Safe Spaces in Child Care Module via Caregistry.org. Licensee states she will take the course and provide proof of completion to Department by 06/09/24.
· The Licensee was provided resources regarding Pets in the Child Care Setting and a risk management
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NICHOLAS FAMILY CHILD CARE
FACILITY NUMBER: 198017228
VISIT DATE: 05/03/2024
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assessment.
https://mybrightwheel.com/blog/risk-management-plan-for-daycare-centers.

The Licensee states she will provide certificates from Wolfgang Expert Dog Trainers as well as parent pamphlets with training information, due 6/9/24.

Exit interview conducted with Licensee, Shameka Nicholas, who is in agreement with the above.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
LIC809 (FAS) - (06/04)
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