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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444413069
Report Date: 09/14/2023
Date Signed: 09/14/2023 10:47:50 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/17/2023 and conducted by Evaluator Cortney Nelson
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230417111629
FACILITY NAME:TAYLOR, MARIEFACILITY NUMBER:
444413069
ADMINISTRATOR:TAYLOR, MARIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 325-5273
CITY:SANTA CRUZSTATE: CAZIP CODE:
95062
CAPACITY:12CENSUS: 3DATE:
09/14/2023
UNANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Marie QuinnTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff covered day care child's face with a blanket.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Cortney Nelson, met with Licensee, Marie Quinn, and explained purpose of today's visit- deliver complaint investigation findings. LPA was admitted into the family child care home (FCCH) by the Licensee's mother, Priscilla, upon arrival.

LPA conducted interview with the Licensee who states the child is sent with the blanket to the FCCH, which is why the child has the blanket. The infant was left in a bedroom with the blanket, where she was able to place the blanket over her face. It is the responsibility of the Licensee to follow Infant Safe Sleep regulations which does not allow infants to sleep with items such as blankets or have their face covered while sleeping. The Licensee shall remove all items prohibited in cribs while infants are sleeping, regardless of if the items are sent to the FCCH by the parents. Based on the available evidence, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.

***Report continues on LIC9099-C***
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 07-CC-20230417111629
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: TAYLOR, MARIE
FACILITY NUMBER: 444413069
VISIT DATE: 09/14/2023
NARRATIVE
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**Report continued from LIC9099**

LPA informed the Licensee, Marie Quinn, that this report dated 9/14/2023 documents one Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA informed the Licensee to provide a copy of this licensing report dated (9/14/2023) that documents one Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

As a result of today's inspection, a deficiency has been cited, see LIC9099-D.

Exit interview conducted and report was reviewed with the Licensee, Marie Quinn.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20230417111629
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: TAYLOR, MARIE
FACILITY NUMBER: 444413069
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/15/2023
Section Cited
CCR
102425(g)
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102425 Infant Safe Sleep (g) An infants head shall not be covered while sleeping.

This requirement was not met as evidenced by:
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The Licensee will submit plan of correction to the Department by 9/15/2023.
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The Licensee did not remove blanket from the infant, allowing the infant to cover herself with the blanket, which poses an immediate risk to the health, safety, and personal rights of 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: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5