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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300228
Report Date: 10/31/2023
Date Signed: 10/31/2023 04:14:27 PM

Document Has Been Signed on 10/31/2023 04:14 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:YAWN FAMILY CHILD CAREFACILITY NUMBER:
376300228
ADMINISTRATOR:YAWN,CYNTHIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 492-4398
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY: 14TOTAL ENROLLED CHILDREN: 15CENSUS: 17DATE:
10/31/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:35 PM
MET WITH:Cynthia YawnTIME COMPLETED:
04:36 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Keely Messerschmidt and Amber Shaw arrived at the facility on a case management inspection. LPA met with Licensee Cynthia Yawn and provided purpose of inspection. At the time of inspection, LPA toured the facility and took census.

Based on LPA observation, the Licensee and her assistant were downstairs with 14 children, however an additional 3 children, ages (14-month-old, 3-year-old and 4-year-old) were upstairs without supervision. A Type A citation for lack of supervision will be issued, see LIC 809-D.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months.

The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.

An exit interview was conducted with Licensee and a copy of this report was provided. Appeal Right were discussed and provided.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2023
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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Document Has Been Signed on 10/31/2023 04:14 PM - It Cannot Be Edited


Created By: Keely Messerschmidt On 10/31/2023 at 03:51 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: YAWN FAMILY CHILD CARE
FACILITY NUMBER: 376300228

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/01/2023
Section Cited
CCR
102417(a)

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Operation of a Family Child Care Home: The licensee shall be present in the home and shall ensure that children in care are supervised at all times.

This was not met as evidenced by,
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Licnesee agrees to review Title 22 Regulations for operating a family child care home and send LPA her plan on maintaining supervision daily via email by 11/1/23.
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during tour LPAs observed 14 children to be downstairs with Licnesee and assistant, while 3 children were upstairs unattended. This poses an immediate risk to the health and safety of the children.
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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:Deborah Mullen
LICENSING EVALUATOR NAME:Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:
DATE: 10/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/31/2023


LIC809 (FAS) - (06/04)
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