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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493006449
Report Date: 08/16/2019
Date Signed: 08/16/2019 05:23:22 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:MT. TAYLOR CHILDREN'S CENTER THREEFACILITY NUMBER:
493006449
ADMINISTRATOR:JANAY BERRYFACILITY TYPE:
850
ADDRESS:812 VINEYARD CREEK DRIVETELEPHONE:
(707) 526-3008
CITY:SANTA ROSASTATE: CAZIP CODE:
95403
CAPACITY:29CENSUS: 16DATE:
08/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:Julie Elers & Isabel CiocciTIME COMPLETED:
03:45 PM
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An inspection was made to the facility by LPA, Mary Trinh. The facility file was reviewed prior to this visit. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. (This program is operated by a private entity).
Operating hours are 7:15 AM to 6 PM, Mon-Fri. The facility was toured inside and outside and the floor and yard plan were verified. The items which could pose a danger to children (detergents, cleaning compounds and medications) were inaccessible to children. Poisons are not kept at facility. The toys, floors, desks and other equipment and surfaces appeared clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The children's bathrooms appeared in safe and sanitary condition. Food prep areas are clean. Food is properly stored and refrigerated as needed. There was no contaminated food observed. Garbage cans containing solid waste have tight fitting lids. There is a working smoke detector, carbon monoxide detector and fire extinguisher (2A10BC) in the facility. The playground was free of hazards. The playground equipment and surface areas appeared in safe condition. There are wood chips cushioning underneath climbing structures and/or play equipment sufficient to absorb falls. There were no bodies of water observed. The Teacher stated no weapons are stored on site and none were observed. During today's inspection, staffing ratios were being met and 16 children were being properly supervised by 2 Teachers. The facility was operating within the licensed capacity. At least one staff member present possessed current CPR and First Aid certifications with expiration of July 2021. The sign-in/sign-out procedure was reviewed and in compliance. 10 Children’s records were reviewed at 2:10 PM and contained signed admission agreements and immunizations. 3 Staff records were reviewed at 2:30 PM and contained documentation of education and training, as required. This facility is providing Incidental Medical Services – IMS. Incidental Medical Services (IMS) policy was discussed. (LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records.) For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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: www.ada.gov/childqanda.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the Director. All licensing reports are public information and must be made available upon request for at least three years.
Notice of Site Visit shall be posted for 30 days from today's visit.
There were no Title 22 deficiencies cited during today's inspection.
SUPERVISOR'S NAME: Alexis HollonTELEPHONE: (707) 588-5036
LICENSING EVALUATOR NAME: Mary TrinhTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
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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