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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426215590
Report Date: 06/08/2021
Date Signed: 06/09/2021 03:55:20 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/09/2021 03:55 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:TAFF FAMILY CHILD CAREFACILITY NUMBER:
426215590
ADMINISTRATOR:DANIELLE MARIE TAFFFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 868-2302
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 18DATE:
06/08/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Danielle TaffTIME COMPLETED:
05:00 PM
NARRATIVE
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On 6/8/2021, 12:25 PM Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Required Inspection. LPA met with assistant, Suzette Parks and Licensee's adult son and Licensee's 3 minor children. Licensee was not present in the home when LPA arrived. LPA asked the pre screening question, responses indicate no COVID-19 exposure on site.

When LPA arrived at 12:25 PM, LPA observed 3 day care children playing at the unfenced front yard with Licensee's minor son. Licensee's son went inside to check if Licensee was home. While waiting outside the home, LPA Reyes contacted Licensee informing Licensee LPA was at the doorstep. At 12:36 PM, Licensee's minor daughter opened the door. LPA Reyes discussed the purpose of the inspection and was directed to the backyard where children were playing. LPA observed 18 children present, 3 infants, 5 school age and 10 other children, age range from 2 to 5 years old. On or about 1:15 PM Licensee arrived.

LPA toured the interior and exterior of the home. This is a two story home consists of 5 bedrooms and 3 baths. Second story of the home is made inaccessible to day care children by child safety gate at the bottom of the stair case. Kitchen, living room, family room ,3 bedrooms downstairs are accessible to day care children. LPA observed laundry detergent, dishwasher detergent, surface cleaner sanitizer - with caution "Keep out of reach of children" under the unsecured kitchen sink and island cabinet. LPA observed hair gel, other grooming products in the the bathroom cabinet used by day care children. Continued on LIC 809 C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2021
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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: TAFF FAMILY CHILD CARE
FACILITY NUMBER: 426215590
VISIT DATE: 06/08/2021
NARRATIVE
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During the inspection, LPA observed Infant # 1 sleeping on infant's stomach. Licensee stated that Infant 1 has no LIC 9227 - Individual Infant Sleeping Plan on file.
Children's files were randomly reviewed. Infant #1, Infant # 3 and Child # 7's files were not available for review. Review of file also revealed Licensee does not maintain the sleeping documentation of the 3 infants in care. Licensee stated Licensee and assistants check sleeping infant every 15 minutes but does not document it. LPA discussed the Infant Safe Sleep Regulation and provided copy of the Regulation and LIC 9227.

At 1:45 PM, Carbon Monoxide and Smoke detectors were tested and found operational. LPA observed the 2 A10 BC fire extinguisher was last serviced on 1/27/2020. LPA reminded Licensee that fire extinguisher should be serviced every year or to purchase new one annually. Licensee stated guns and ammunition are locked in a separate safety vault. LPA did not observe any bodies of water

CPR and First Aid for Licensee and Assistant are current expiring on 1/21/2022. Immunization Record is complete. Licensee and Assistant's Mandated Reporter Training (AB1207) are current expiring on 11/7/2022.

The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC 9224) shall be signed and kept in each of the children’s records. Web site address to obtain forms, review quarterly updates, review Title 22 & Health & Safety Codes is: https://www.cdss.ca.gov/inforesources/child-care-licensing

Copies of this report must be posted for 30 days in a visible location for the authorized representatives of children. 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.

Exit interview conducted with License, Danielle Taff A copy of the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Licensee’s signature on this form acknowledges receipt of these rights. This report was issued on June 9, 2021 due to computer malfunction.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2021
LIC809 (FAS) - (06/04)
Page: 3 of 6
Document Has Been Signed on 06/09/2021 03:55 PM - It Cannot Be Edited


Created By: Gigi Reyes On 06/08/2021 at 02:07 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TAFF FAMILY CHILD CARE
FACILITY NUMBER: 426215590

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/09/2021
Section Cited
CCR
102416.5(f)

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102416.5(f)Staffing Ratio & Capacity
The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children.This requirement is not met as evidenced by:During the inspection LPA observed 18 day care children. This poses an immdediate risk to health and safety fo children in care.
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Licensee agreed to submit plan of correction no later than 6/9/2021, ensuring that Licensee is operating within the License capacity of 14.
Type A
06/09/2021
Section Cited
CCR
102417(g)(4)

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102417(g)(4) Operations of FCCH
Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
This requirement is not met as evidenced by:
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Corrected during the time of visit. Licensee kept the detergents and cleaning compounds inaccessible to day care children.
Licensee to submit written plan of correction to ensure that all detergents and cleaning compounds will be stored inaccessible to children in care. To be submitted on 6/9/2021
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LPA observed detergent and cleaning compound underneath the island cabinet and kitchen sink. LPA also observed hair gel, mouthwash, pedicure gel,disinfectant spray in the bathroom cabinet used by day care children. This poses an immediate risk to health and safety of children in care.

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Type A
06/09/2021
Section Cited
CCR
102417(6)

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102417(6) Operations of FCCH
Outdoor play areas shall be either fenced, or outdoor play shall be supervised by the licensee or caregiver.
This requirement is not met as evidenced by: Upon arrival, LPA observed 3 day care children with the Licensee’s minor child playing in the unfenced front yard. This poses an immediate risk to health and safety of children in care.
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Licensee agreed to ensure that day care children will be supervised a qualified adult caregiver. Written plan of correction will be submitted no later than 6/9/2021
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:Maria Mueller
LICENSING EVALUATOR NAME:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2021


LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 06/09/2021 03:55 PM - It Cannot Be Edited


Created By: Gigi Reyes On 06/08/2021 at 02:43 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TAFF FAMILY CHILD CARE
FACILITY NUMBER: 426215590

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/18/2021
Section Cited
CCR
102425(j)(2)(C)(1)

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102425(j)(2)(C)(1)Infant Safe Sleep
Infants up to 12 month of age who are sleeping in a position other than on their back. 1. If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, the provider shall return the infant to their back for sleeping.
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Licensee agreed to have parent of infatns 0 to 12 months to fill out and sign LIC 9227 specifically section C. Plan of correction to be submitted no later than 6/18/2021. Licensee also agreed that LIC 9227 will be on the infant's file.

gigi.reyes@dss.ca.gov
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This requirement is not met as evidenced by:
LPA observed that Infant 1 in a pack and play was sleeping on Infant's stomach. Infant 1 has no LIC 9227 on file. This poses a potential risk to health and safety of children in care.
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Type B
06/18/2021
Section Cited
CCR102425(j)(2)(D)

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102425(j)(2)(D) Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:
a. Date.b. Infant’s name.c. Time of each 15-minute check.
This requirement is not met as evidenced by:
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Licensee agreed to submit a writen plan of correction to ensure that sleeping infant 0-24 months be physically checked and documente their sleeping status every 15 minutes. To submit POC no later than 6/18/2021.
gigi.reyes@dss.ca.gov
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LPA review of children's file revealed that Licensee does not document the every 15 minute physical check of children while asleep. Licensee stated, assistants stay in the room with the infant during nap time however, there is no documentation of physical check. This poses a potential risk to health and safety of children in care.
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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:Maria Mueller
LICENSING EVALUATOR NAME:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2021


LIC809 (FAS) - (06/04)
Page: 2 of 6
Document Has Been Signed on 06/09/2021 03:55 PM - It Cannot Be Edited


Created By: Gigi Reyes On 06/08/2021 at 04:24 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TAFF FAMILY CHILD CARE
FACILITY NUMBER: 426215590

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/18/2021
Section Cited
CCR
102421(a)

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102421(a) Child's Record
The licensee shall maintain, in each child's record, the signed and dated notice form required in Section 102419(d).

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Licensee will submit a plan of correction1 to ensure all children's file are available for review.
POC will be submitted no later thatn 6/18/2021. gigi.reyes@dss.ca.gov
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LPA review of child's record revealed that Infant # 1, # 3 and Child # 7 files were missing for review.
This poses a potential risk to health and safety of chidlren in care
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Type B
06/18/2021
Section Cited
CCR102416.5(h)(2)

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102416.5(h)(2) Staffing Ratio & Capacity
For a Large Family Child Care Home that meets the criteria to care for up to two additional children, the licensee shall maintain proof of parent notification as specified in Section 1597.465(c) of the Health and Safety Code.
This requirement is not met as evidenced by:
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Licensee agreed to update LIC 9150 of the children and have the parents sign the form. Licensee will submit plan of correction no later than 6/18/2021. gigi.reyes@dss.ca.gov
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LPA review of children's record revealed that Infant # 2 has no LIC 9150 Parent Notification of Additional Children. Children # 4,5,6 - the LIC 9150 are not updated, it was still under small FCCH.
This poses a potential risk to health and safety of chidlren in care.
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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:Maria Mueller
LICENSING EVALUATOR NAME:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2021


LIC809 (FAS) - (06/04)
Page: 6 of 6
Document Has Been Signed on 06/09/2021 03:55 PM - It Cannot Be Edited


Created By: Gigi Reyes On 06/08/2021 at 11:11 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TAFF FAMILY CHILD CARE
FACILITY NUMBER: 426215590

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/18/2021
Section Cited
CCR
102417(g)(1)

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102417(g)(1) Operations of FCCH
Fireplaces and open-face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshal.

This requirement is not met asevidenced by:
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Licensee agreed to service the FCCH fire extinguisher and to submit proof of correction no later thant 6/18/2021
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LPA observed that 2 A10 BC fire extinguisher was last serviced on 1/27/2020. This poses a potential risk to health and safety of children in care.
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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:Maria Mueller
LICENSING EVALUATOR NAME:Gigi Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2021


LIC809 (FAS) - (06/04)
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