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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364840541
Report Date: 03/23/2022
Date Signed: 03/23/2022 01:14:42 PM

Document Has Been Signed on 03/23/2022 01:14 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
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:
03/23/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:TAYLOR, ATHEATIME COMPLETED:
01:34 PM
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On March 23, 2022, at 12:45 Pm Licensing Program Analyst (LPA) Babatunde Ibitoye met with Licensee, Athea Taylor. The purpose of the inspection was to conduct a case management Legal inspection to verify the Licensee is not operating a Family Child Care and ensure all required postings are present. Present at the time of inspection was the Licensee, one adult biological Son.

During this inspection, LPA observed the LIC 9031 “Notice of Closed for Business” sign was posted outside on the screen door. LPA completed a tour of the licensed spaces, which included the living room, day-care room, and outdoor play space. LPA completed one interview with the Licensee, who reported no day-care children present on this day. Per Licensee, she is not providing care for any family member today. Based on LPA’s observation and interview with the Licensee, at this time there is no evidence of care being provided in violation of the order.

Licensee’s signature on this form acknowledges receipt of this document.

Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in a location visible to the authorized representatives of children.

An exit interview was conducted and appeal rights were provided to Licensee, Athea Taylor. A copy of this report and notice of site inspection was provided and explained during this inspection.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Babatunde Ibitoye
LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2022
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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