<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215396
Report Date: 06/13/2019
Date Signed: 06/14/2019 02:11:07 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:TAYLOR FCC AKA CREATIVE LEARNING CHILDCAREFACILITY NUMBER:
406215396
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
06/13/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Cindy Taylor, LicenseeTIME COMPLETED:
11:35 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Annual/Random and Capacity Increase inspection. LPA met with Licensee, Ms. Cindy Taylor, the purpose of the visit was discussed. There were 4 children present 2 being infants. The home is toured inside and out. The home is composed of 4 bedrooms and 3 baths. The day care area is enclosed/surrounded by baby gate separating it from the kitchen, dining and living rooms and 3 bedrooms are used for infant napping. LPA observed age and size appropriate toys in the day care area and play structure in the play yard. LPA observed that several wooden fence panels are broken and need repair/replacement. LPA stated there are no guns or ammunition in the home. There were no bodies of water observed.

Fire Extinguisher was last serviced on 6/7/2019. Carbon monoxide and smoke detectors are functional. CPR and First Aid expires on 8/25/2019. Licensee met the SB 792 requirements. AB 1207 Mandated Reporter Training was completed on 3/2/2018. Children's files were randomly reviewed and found complete. LPA discussed the Safe Sleep Concept and "Effects of Lead Exposure" and provided flyer for distribution to parents of day care children.

Home is not providing Incidental Medical Services (IMS). 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. Continued on 809 C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TAYLOR FCC AKA CREATIVE LEARNING CHILDCARE
FACILITY NUMBER: 406215396
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/16/2019
Section Cited
CCR
102417(g)
1
2
3
4
5
6
7
The home shall be free from defects or conditions which might endanger a child.




This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee agreed not to use the backyard until the fence is fixed and licensee also agreed to replace the broken fence panels in the backyard by 6/16/2019. Photo of the backyard fence will be sent to CCLD on 6/16/2019.
8
9
10
11
12
13
14
Based on LPA's observation the wooden fence have gaps in between panels, large enough for a child to exit the premises.
This poses an immediate risk to health and safety of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: TAYLOR FCC AKA CREATIVE LEARNING CHILDCARE
FACILITY NUMBER: 406215396
VISIT DATE: 06/13/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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

In the areas evaluated, deficiency was cited under Title 22 Division 12 (809D). Appeal Rights Given.

Upon receipt, provide copies of this licensing report to each parent/guardian of enrolled children and to parents/guardians of newly enrolled children during the next 12 months. Acknowledgement of Receipt LIC 9224 form shall be used for this purpose. LIC 9224 after completed shall be maintained in each child's file. (LIC 9224 was provided to the Family Child Care Home.)

The application for Change of Capacity from 8 to 14 Children is pending for approval until the deficiency is corrected.



1. Repair/replacement of the loose and broken wooden fence panels in the play ground.

LPAs observed licensee post the Notice of Site visit.
FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.




SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3