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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401106
Report Date: 11/19/2021
Date Signed: 11/19/2021 06:09:07 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:STEPPING STONES CHILDREN'S CENTERFACILITY NUMBER:
197401106
ADMINISTRATOR:JOELENE HOSELTONFACILITY TYPE:
850
ADDRESS:26330 N. FRIENDLY VALLEY PKWY.TELEPHONE:
(661) 251-4469
CITY:SANTA CLARITASTATE: CAZIP CODE:
91321
CAPACITY:71CENSUS: 27DATE:
11/19/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Anne Grunbok (Nancy)TIME COMPLETED:
06:16 PM
NARRATIVE
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On November 19, 2021, Licensing Program Analyst (LPA) Liana Stepanyan and Licensing Program Manager, Mariela Ramon met with licensee for the purpose of conducting a Case Management Inspection. Upon arrival LPA observed 27 children in care with 4 staff members.

On 10-19-21, Licensee and Director notified LPAs Liana Stepanyan and Lady King-Lewis that the facility created a waiver allowing parents to decide whether they wanted their children to wear a facial mask or opt-out of the mask mandate. The waiver is signed by children’s parents stating parents choose not to have their children wear a facial mask. The facility failed to contact the Department to inquire about whether the waiver was appropriate to implement.

During this inspection, the facility was cited a Type B deficiency for Conduct Inimical. Please see Facility Evaluation Report LIC 809D for deficiency cited.



An exit interview was conducted with licensee and appeal rights were discussed and provided. Notice of Site Visit posted. Failure to maintain posted for 30 Days will result in an immediate civil penalty.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2021
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: STEPPING STONES CHILDREN'S CENTER
FACILITY NUMBER: 197401106
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/19/2021
Section Cited

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Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. This requirement was not met as evidenced by on 10-19-21, licensee and director provided LPA a waiver signed by children’s parents stating parents choose not to have their children wear a facial mask.
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The facility failed to contact the Department to inquire about whether the waiver was appropriate to implement. This is a type B deficiency which poses a potential Health, Safety or Personal Rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:
DATE: 11/19/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/19/2021
LIC809 (FAS) - (06/04)
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