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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197700466
Report Date:
03/02/2022
Date Signed:
05/03/2022 11:18:45 AM
COMPREHENSIVE INSPECTION
Document Has Been Signed on
05/03/2022 11:18 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
CCLD Regional Office
,
39115 TRADE CENTER DR STE. 201
PALMDALE
,
CA
93551
FACILITY NAME:
TAYLOR FAMILY CHILD CARE
FACILITY NUMBER:
197700466
ADMINISTRATOR:
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
CITY:
STATE:
ZIP CODE:
CAPACITY:
8
TOTAL ENROLLED CHILDREN:
8
CENSUS:
DATE:
03/02/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
10:30 AM
MET WITH:
TIME COMPLETED:
10:43 AM
NARRATIVE
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See 812 PDF dated 03-18-22 for copy of Required 1 year report due to system problems.
SUPERVISORS NAME
:
Mariela Ramon
LICENSING EVALUATOR NAME
:
Lady King
LICENSING EVALUATOR SIGNATURE
:
DATE:
03/02/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/02/2022
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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