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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015763
Report Date: 10/04/2019
Date Signed: 10/04/2019 01:40:42 PM

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:
198015763
ADMINISTRATOR:TAYLOR, TERRIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 843-5558
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:14CENSUS: 8DATE:
10/04/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:51 AM
MET WITH:Terri Taylor TIME COMPLETED:
01:45 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Crystal Green and Susann Sanchez conducted an unannounced annual inspection. LPAs met with Licensee, Terri Taylor also present during this inspection was Licensee Assistant, Brianna Olabode. There were 8 children present during this inspection. The licensee states that there are currently 17 children enrolled, children's roster was reviewed and is current.

This a single- story home which consists of 2 bedrooms, 1 bathroom, kitchen, living room and side yard. located in the back with 1 adjoining unit and one in the front. Children have access to the 1 bedroom, 1 bathroom, living room (main day care room), kitchen and side yard (fenced). Children use the side yard for outdoor activities. Per licensee, areas off limits to children and parents include: 1 bedroom. The licensee provides food for children in care.

There is a working telephone service maintained in the home. Family members residing in the home are 1 adult (criminal record clearances on file). Detergents, cleaning compounds, medications, and other items which can pose a danger to children are inaccessible in all areas of the home. The licensee states that there are no poisons in the home. The licensee does understand that poison must be locked with a key or combination lock.

Per licensee, there are no weapons, firearms or bodies of water on the premises. There were safe toys, play equipment, and materials observed for children. Emergency Disaster Plan, Parent’s Rights Poster, and the Facility License are observed to be posted. Children’s records were reviewed to ensure that each child has an Identification and Emergency form and Consent for Medical Treatment on file. The valve on the required 2A10BC fire extinguisher indicates fully charged last service date 08/2019.
Reporter Continues Page 1 of 2.
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: 198015763
VISIT DATE: 10/04/2019
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Smoke detector and carbon monoxide detector were tested and are in operable condition. All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. The last drill documented was conducted on 10/04/2019. Licensee have current Pediatric First Aid and CPR, which will expire 07/2020.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at http://www.ada.gov/childqanda.htm

AB1207 Mandated Child Abuse Reporting www.mandatedreporterca.com – Licensee and Licensee Assistant has Mandated Child Abuse certification of completion as of 03/09/2018.

PROHIBITED: Infant Walkers, Johnny Jumpers, Saucer Chairs, Trampolines and/or any other item that falls into these categories are not permitted in a family childcare facility. SMOKING IS PROHIBITED IN A LICENSED FAMILY CHILD CARE HOME.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at www.ccld.ca.gov

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

The exit interview was conducted with Licensee. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Report Ends Page 2 of 2.
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2