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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364840541
Report Date: 03/11/2022
Date Signed: 03/11/2022 01:41:47 PM

Document Has Been Signed on 03/11/2022 01:41 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:TAYLOR FAMILY CHILD CAREFACILITY NUMBER:
364840541
ADMINISTRATOR:TAYLOR, ATHEAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 247-2425
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92308
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/11/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Athea Taylor LicenseeTIME COMPLETED:
01:47 PM
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On March 11, 2022 a Case Management Legal/Non- Compliance Inspection was conducted by Licensing Program Manager (LPM) Claretta Yates, and Licensing Program Analyst (LPA) Steven Montoya for the purpose of serving a Temporary Suspension Order (TSO) to the Licensee Athea Taylor and spouse. Upon arrival, there were 0 children present.

The Licensee Athea Taylor was served with the following documents during today’s inspection:

1. Temporary Suspension Order (TSO)
2. Statement to Respondent
3. Government Code Statutes
4. Summary of Instructions for Licensee
5. Summary of Charges
6. Accusation
7. Request for Discovery
8. Notice of Defense (2)

The Licensee was advised she must inform all parents concerning the TSO by providing parents with Parent Packets. Licensee was provided 14 Parent Packets during the inspection
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Steven Montoya
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2022
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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