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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493009955
Report Date: 10/12/2022
Date Signed: 10/13/2022 08:26:49 AM

Document Has Been Signed on 10/13/2022 08:26 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:TAYLOR CHILDRENS PRESCHOOL CENTERFACILITY NUMBER:
493009955
ADMINISTRATOR:RENEE TAYLORFACILITY TYPE:
850
ADDRESS:500 NORTH MAIN STREETTELEPHONE:
(707) 827-6200
CITY:SEBASTOPOLSTATE: CAZIP CODE:
95472
CAPACITY: 24TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
10/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:29 PM
MET WITH:Renee Taylor, Licensee/ Center DirectorTIME COMPLETED:
04:15 PM
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An annual required inspection was made to the facility by Licensing Program Analyst (LPA), Y. Yang. The facility file was reviewed prior to this inspection. A review of the personnel report on 10/12/22 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The center director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The LPA met with the facility's center director and licensee, Renee Taylor today. The facility’s operating hours are 08:00am-05:00pm, Monday – Friday. The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified. The toys, floors, desks and other equipment and surfaces were clean, toxic free, safe and in good condition. The facility was free of flies, insects and rodents. There is drinking water available to children both indoors in the classrooms and outdoors on the playground. The children’s bathrooms were in safe and sanitary condition. Food prep areas are clean. Food is properly stored and free of contamination. All meals are brought from home and snacks are provided by the center; a current menu was posted inside the center. Garbage cans containing solid waste were in good repair and had tight fitting lids. The playground was free of hazards. There are presently no structures on the playground that require surface cushioning. There were no bodies of water observed. The center director stated no weapons are stored on site. Poisons are key locked in the director's office. During today's inspection, staffing ratios were being met and there were five children being supervised by two staff members. The facility was operating within the licensed capacity. At least one staff member present during the visit possessed current CPR and First Aid certifications. The sign in/out sheet was reviewed and was in compliance with regulations. Five children’s records were reviewed and contained identification forms with authorized representative information, as well as medical assessment forms. Two staff files were reviewed and contained the required documents as specified on the inspection checklist. Continued on LIC 809-C
SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE: DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/07/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: TAYLOR CHILDRENS PRESCHOOL CENTER
FACILITY NUMBER: 493009955
VISIT DATE: 10/12/2022
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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: http://www.ada.gov/childqanda.htm.

During today's annual inspection, a case management inspection was also completed for the purpose of verifying that an excluded former staff is no longer present in the facility. The Department's Legal Division issued a Decision and Order stating that former Staff 1 (S1) is excluded from any care facility licensed by the Department for the remainder of life, effective 10/03/2022. During the visit LPA did not observe S1 to be present at the facility. The licensee stated during the visit that S1 was terminated from employment at the facility on 06/22/22 and has not been at the facility since that date. LPA has verified that S1 is no longer present at the facility.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the center director, Renee Taylor. There were no Title 22 deficiencies cited during today's inspection.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Yang Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022
LIC809 (FAS) - (06/04)
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