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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400612
Report Date: 07/26/2022
Date Signed: 07/26/2022 12:01:34 PM

Document Has Been Signed on 07/26/2022 12:01 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:TAYLOR FAMILY CHILD CAREFACILITY NUMBER:
198400612
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/26/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Cynthia Taylor, LicenseeTIME COMPLETED:
12:20 PM
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On July 26, 2022 at 10:30 am, Licensing Program Analyst (LPA) Susann Sanchez conducted an announced inspection at the facility noted above and met with Licensee, Cynthia Taylor. The purpose of the inspection was to conduct the pre-licensing inspection for a Change of Location. The Licensee is requesting to operate a Small Family Day Care Home (up to 8 children). The operating hours would be Monday through Friday from 6:00 AM to 6:00 PM. Licensee stated she will offer after hours and weekends if needed only. Licensee is applying to care for children ages: infant to 16 years old. Licensee is going through the RFA process. Pre-licensing Entrance Checklist (LIC 9280) was provided upon arrival. Individuals residing in the home were discussed and noted.

All areas identified on the facility sketch were inspected. This facility is a single family home that consists of three (3) bedrooms, two (2) bathrooms, living room, dining room, kitchen, detached garage, backyard, and front yard. This home has no "off limit" areas.

All areas were inspected for safety, comfort, heating, cleanliness and telephone service. LPA did not observe any fireplaces in the home. LPA observe (2) wall heaters that are located in the living room and in the dining room. Both wall heaters are gated off. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are made inaccessible. Knives are located in a high cabinet and other cleaning products are located in the closets in the hallway. Licensee was advised that if any poisons are purchased, it is required to be locked with a key or combination lock.

Per Licensee, there are no pets, firearms, weapons or bodies of water on the premises. LPA observed age appropriate toys and napping equipment for children. LPA observed electrical outlet covers throughout the facility. LPA observed the required fire extinguisher (2A-10BC) that is fully charged and purchased on 06/10/2022. Licensee was informed to have the fire extinguisher serviced yearly. Smoke and carbon monoxide detectors were tested and are operable. A First Aid kit and emergency supplies are available and located in the kitchen. Licensee was advised that if food is brought from the children’s home, all containers must be labeled with the child’s name and properly stored or refrigerated.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: TAYLOR FAMILY CHILD CARE
FACILITY NUMBER: 198400612
VISIT DATE: 07/26/2022
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The Licensee has proof of pediatric First Aid/CPR certification (expires 06/28/23). Licensee has proof of immunization against pertussis, flu and measles. Licensee completed the required Preventative Health and Safety training, and Mandated Reporter training (expires 05/18/24). Licensee was advised that the mandated reporter training must be completed every 2 years and is available at www.mandatedreporterca.com.

LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee plans to provide care to infants. LPA advised Licensee to sleep infants where they can be directly supervised at all times and advised against sleeping infants in a separate rooms. Licensee states the following supervision plan for infants: Licensee states that infants will sleep in the living room where they will be provided direct supervision. LPA provided Licensee with a copy of Provider Information Notice (PIN) 20-24-CCP and the Individual Infant Sleeping Plan (LIC 9227). These documents were also explained.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22-02-CCP. 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 provided the Forms and Records to Keep in your Family Child Care Home (LIC 311D). LPA also provided Technical Assistance for COVID-19.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: TAYLOR FAMILY CHILD CARE
FACILITY NUMBER: 198400612
VISIT DATE: 07/26/2022
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PINs), Program Quarterly Update Newsletters and other important information communication platform.

LPA provided assistance to the Licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Per Licensee, there are no dual licenses at this address. Licensee email address was obtained during this inspection. The Licensee was advised that email may be public information.

A final review of the application will be conducted by the Department. Once licensed, the Licensee is required to adhere to the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with the Licensee Cynthia Taylor.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
LIC809 (FAS) - (06/04)
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