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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845434
Report Date: 09/15/2023
Date Signed: 09/15/2023 12:53:33 PM

Document Has Been Signed on 09/15/2023 12:53 PM - 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:TAYLOR FAMILY CHILD CAREFACILITY NUMBER:
364845434
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
09/15/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Philece TaylorTIME COMPLETED:
12:55 PM
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On this date and time, an informal conference was held at the Riverside Regional Office. Present in the conference was Licensee Philece Taylor, Licensing Program Manager (LPM) Kimberly Williams and Licensing Program Analyst’s (LPA’s) Laura Mejorado and Justin Giese.

The conference was called to discuss the following:
· Infant Safe Sleep
· Staffing Ratio and Capacity
· Mandated Reporter Training
· Children Immunization’s
· Operation of a Family Child Care Home
· Posting Requirements
· Facility Records

The licensee’s compliance history was reviewed during this conference. Licensee's responsibilities and accountability were also reviewed with the Licensee during this conference. LPM Williams reminded Licensee of how important regulatory compliance is in licensed facilities to protect the Health and Safety of children in care. Licensee has been informed the Licensing Agency takes noncompliance seriously, and how repeat violations can lead to a Non-Compliance Conference and/or the Department seeking legal consultation regarding the status of the license.

Licensee agrees to ensure that the facility is operating in substantial compliance of California Code of Regulations Title 22, Division 12, Chapter 1. Licensee was advised to visit the Department's website at www.cdss.ca.gov on a regular basis for licensing updates, self-assessment tools, quarterly updates, and Provider Information Notices (PIN). These resources are suggested and provided to the Licensee as technical support, in efforts of assisting the provider with sustainable future compliance.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: TAYLOR FAMILY CHILD CARE
FACILITY NUMBER: 364845434
VISIT DATE: 09/15/2023
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As a result of this informal conference, Licensee understands the department’s expectations regarding licensure and agrees to maintain substantial compliance with Title 22 Regulations.

The following was discussed and provided to Licensee:
- Licensee is also advised to contact the duty officer at (951) 782-4200 for any questions or concerns that may arise, the duty officer is available Monday – Friday (8:00 am to 5:00 pm).
- 102425 Infant Safe Sleep, Safe Sleep F&Q, 102416.5 Staffing Ratio and Capacity, 1596.8662 Mandated Reporter, 102418 Immunization's, 102417 Operation of a Family Child Care Home, 1596.8595 Posting Requirements, Ratio/Capacity Sheet, Quarterly Update Summer 2023 and information on Technical Support Program (TSP).

Additionally, Licensee was provided PIN 22-30-CCP “2023 Child Care Licensing Webinars” and advised to enroll for the webinar scheduled Tuesday, September 26, 2023.

Licensee agrees to completed the infant safe sleep quiz located on the departments website and submit proof within two weeks (9/29/23).



Licensee agrees to seek outside vendor training with Child Care Resource Center (CCRC)/Resource and Referral, or any other vendor, regarding Title 22 Regulations discussed during this conference. Proof of enrollment must be sent within 30 days (10/15/23) and submit proof of completion via a training certificate within 60 days of today's conference (11/15/23).

LPA informed Licensee to provide a copy of this licensing report dated 09/15/23 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 children's parents/guardians for the next 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.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023
LIC809 (FAS) - (06/04)
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