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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215396
Report Date: 10/09/2024
Date Signed: 10/09/2024 11:13:55 AM


Document Has Been Signed on 10/09/2024 11:13 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:TAYLOR FCC AKA CREATIVE LEARNING CHILDCAREFACILITY NUMBER:
406215396
ADMINISTRATOR:CINDY ANN TAYLORFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 860-9132
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY:14CENSUS: 8DATE:
10/09/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Cindy TaylorTIME COMPLETED:
11:30 AM
NARRATIVE
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On 10/9/24, at 9:30 am, Licensing Program Analyst (LPA) Shane Loftus conducted an unannounced Annual/Random Inspection of the facility. LPA met with Licensee, Cindy Taylor, and explained the purpose of the inspection. LPA in the company of licensee, toured the interior and exterior of the Family Child Care Home (FCCH). The FCCH is a single-story dwelling consisting of 4 bedrooms, 3 bathrooms, living room, family room, kitchen, and backyard. The family room (play room), one bathroom, and the backyard are used for child care. Licensee, assistant (Connor Taylor), and 8 children in care were present at the time of inspection.

The FCCH has a regulation 2A10 BC fire extinguisher that was serviced on 9/19/24. LPA reminded licensee the fire extinguisher needs to be either serviced or newly purchased annually. LPA tested the smoke and carbon monoxide detectors at 9:45 am and found them to be operational. The bathroom used for child care is clean and orderly. Cleaning supplies are stored in the bathroom in an elevated cabinet as well as under the kitchen sink, which is inaccessible to children in care. Medications are stored in the hallway cupboard which is inaccessible to children in care. Sharps are stored in a kitchen drawer which is secured with a child safety lock, making them inaccessible to children in care. The FCCH has a fireplace that is covered with a metal screen. The facility has ventilation for childcare services. The outdoor area has plenty of shade for the children in care. The back yard is secured with a combination of wooden and metal fencing, entry/exit points are secured. Toys and equipment observed in the FCCH are age appropriate. There are no bodies of water on the property. Licensee stated there are no guns or ammunition in the home.

The FCCH has the appropriate documentation posted in the home. A sampling of the children's records was reviewed and contain the required documents including Emergency Contact information. Licensee documents 15-Minute Sleep Checks. The staff records were reviewed. At 10:20 am LPA noted that assistant, Connor Taylor, does not have current Mandated Reporter training.

Continued on 809-C

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane LoftusTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:
DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/09/2024
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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Document Has Been Signed on 10/09/2024 11:13 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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: 10/09/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that assistant Connor Taylor does not have current Mandated Reporter training completed, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/23/2024
Plan of Correction
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Licensee will submit proof via email to CCLD (shane.loftus@dss.ca.gov) by 10/23/24 that assistant has completed Mandated Reporter training.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Maria MuellerTELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane LoftusTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:
DATE: 10/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/09/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: TAYLOR FCC AKA CREATIVE LEARNING CHILDCARE
FACILITY NUMBER: 406215396
VISIT DATE: 10/09/2024
NARRATIVE
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LPA reminded licensee that Mandated Reporter AB1207 and CPR/First Aid must be updated every two years. All other staff records were complete and current. LPA reviewed emergency drill log and observed the last emergency drill was conducted and documented 9/19/24. LPA reminded licensee that emergency drills are required every six months and need to be documented.

Licensee does not provide Incidental Medical Services (IMS). Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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) or (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.

LPAs discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPAs 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 was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Continued on 809-C

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane LoftusTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: TAYLOR FCC AKA CREATIVE LEARNING CHILDCARE
FACILITY NUMBER: 406215396
VISIT DATE: 10/09/2024
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During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Type B Deficiency is being cited based on LPA records review pursuant to Title 22 of the CA Code of Regulations and HSC. Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representative Cindy Taylor.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0400
LICENSING EVALUATOR NAME: Shane LoftusTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC809 (FAS) - (06/04)
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