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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153911514
Report Date: 03/30/2022
Date Signed: 03/30/2022 03:22:15 PM

Document Has Been Signed on 03/30/2022 03:22 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHASE, LEEANN FAMILY CHILD CAREFACILITY NUMBER:
153911514
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
03/30/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Leeann ChaseTIME COMPLETED:
03:30 PM
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On 03/30/2022 Licensing Program Analysts (LPAs) Araceli Gibson and Diana Martinez conducted a Case Management inspection to inspect the back yard outdoor play area. LPAs met with Licensee Leeann Chase and husband, Zackary Chase. Licensee has five children in care including one infant. The purpose of the inspection was to observe the back yard of the facility that is currently off-limits to day care children. LPA inspected the back yard area and observed the new playground equipment to be properly anchored to the ground. The back yard is now considered safe for day care children to utilize. The back yard will no longer be off-limits to day care children.

The children would access the back yard by a door in the living room facing the rear of the home. There is a second door to access the backyard through the laundry room, but this room is made inaccessible by means of spinner knob and a locked door. Licensee does have a large dog outside who is housed in a gated area designated for the dog. Licensee is aware of child safety around pets and accepts responsibility for any action taken by the pet.

Per California Code of Regulations Title 22, Division 12, Chapter 3 no deficiency cited during today's visit. Exit interview conducted with the Licensee.


LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Araceli Gibson
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2022
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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