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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416146
Report Date: 12/29/2021
Date Signed: 12/29/2021 10:03:32 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:COLEMAN, TAWNFACILITY NUMBER:
434416146
ADMINISTRATOR:TAWN COLEMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 420-1984
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY:14CENSUS: 0DATE:
12/29/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Tawn ColemanTIME COMPLETED:
10:00 AM
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Licensing Program Manager (LPM) Joel Segura and Licensing Program Analyst (LPA) Samantha Yip met with Licensee Tawn Coleman for a scheduled Informal Meeting at the San Jose Regional Office. The purpose of this meeting is to discuss the recent citations. Licensee was cited on 11/16/2021 for Criminal Record Clearance and Staffing Ratio and Capacity.

The citations are as followed:
102370(d)(1): Criminal Record Clearance- All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or

During the inspection, Licensee had an adult helping with the children who does not have cleared criminal record.

102416.5(d)(2): Staffing Ratio and Capacity - (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met.

During the inspection, Licensee had 18 children present.

--------------------CONTINUES ON 809 DATED 12/29/2021 PAGE 2-----------------------------
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2021
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: COLEMAN, TAWN
FACILITY NUMBER: 434416146
VISIT DATE: 12/29/2021
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-------------------CONTINUATION OF 809 DATED 12/29/2021 PAGE 1--------------------------

102416.5(e): Staffing Ratio and Capacity - If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

During the inspection, Licensee's assistant left to pick up school-age children; leaving her alone with 9 children.

LPM discussed with Licensee how she will be in compliance in the future. LPM also discussed with Licensee about staffing ratio and capacity; her capacity will reduce to a small Family Child Care Home if no qualified assistant is present and her maximum capacity.

LPM Segura explained the informal meeting and the administrative process. Licensee Tawn was advised that continued non-compliance with Title 22 Regulations could result in their license being referred to CCL's legal department for review and possible action against the license. Assembly Bill 633 (Child Care Parent Notification Requirements) and Acknowledgement of Receipt of Licensing Reports (LIC9224) was also explained and provided to Licensee Tawn Coleman during today’s meeting.

Licensee Tawn Coleman understood that this department will increase monitoring of the facility for the next twelve months.

SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2021
LIC809 (FAS) - (06/04)
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