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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 493010316
Report Date: 11/23/2022
Date Signed: 11/23/2022 11:27:30 AM

Document Has Been Signed on 11/23/2022 11:27 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:MT. TAYLOR CHILDREN'S CENTER THREEFACILITY NUMBER:
493010316
ADMINISTRATOR:EHLERS, JULIEFACILITY TYPE:
850
ADDRESS:1451 SLATER STREETTELEPHONE:
(707) 576-0773
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 18DATE:
11/23/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Varla DuraiTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Glenn Ouye arrived to conduct the prelicensing inspection. This facility name should be Mt. Taylor Children's Center.

The application was received on October 20, 2022. The fire clearance for the center was received on November 2, 2022 for a capacity of 36 children. There are three toilets and five sinks for the children in care. There are functioning smoke and carbon monoxide detectors and two fire extinguishers rates at least at 2A10BC. The are four classroom used as activity areas. There are age appropriate furniture, equipment and toys for the children There is sufficient cots/mats for children to nap.

The outdoor activity area has age appropriate equipment for the children and adequate shade for the children. The applicant will be purchasing and installing an age appropriate outdoor activity structure for the children to use.

The applicant and director were reminded that all adults 18 years and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 11/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/23/2022
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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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: MT. TAYLOR CHILDREN'S CENTER THREE
FACILITY NUMBER: 493010316
VISIT DATE: 11/23/2022
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LPA reviewed with applicant and director the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Exit interview conducted and report was reviewed with the applicant, Varla Durai and director, Karen Guerin.

The facility was informed that they are able to use the prior water lead testing that was performed by the prior owner. A waiver will be developed and will be required to be posted along with the lead testing results for the public to view. The approved lead test results will be valid for five years from the test date.

The facility is approved for 36 preschool children effective today, November 23, 2022.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2022
LIC809 (FAS) - (06/04)
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