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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313623880
Report Date: 04/12/2021
Date Signed: 04/12/2021 10:52:06 AM

Document Has Been Signed on 04/12/2021 10:52 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:LAUDER, LEANNEFACILITY NUMBER:
313623880
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 1DATE:
04/12/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Leanne Lauder - ApplicantTIME COMPLETED:
11:00 AM
NARRATIVE
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*NOTE: Due to Covid-19 and DPH guidelines on social distancing, a Tele-inspection was conducted via FaceTime.*

On Monday, April 12th, 2021, at 9:00am, Licensing Program Analyst (LPA) Blake Morillas began a tele-inspection with Applicant, Leanne Lauder, for a Prelicensing inspection. This is a single story, 3 bedroom, 2.5 bathroom home.

The anticipated operating hours will be 8:30am to 5:00pm, Tuesday though Thursday, and will operate during the summer. Applicant will follow the local school calendar for other holidays.

At 9:04am, LPA initiated a health and safety tele-inspection with the help of the Applicant of all areas of the home as well as the outdoor area that will be used by the children in care.

Off-limits areas will include the All Bedrooms, Hall Bathroom, Master Bathroom, Living Room, Shed, Garage, Car Port. Applicant acknowledged that children may never enter these off-limit areas.

Carbon monoxide and smoke detectors meet regulation. Hazardous cleaning compounds and medications are stored inaccessible and out of reach of children. Licensee noted at this time there are no firearms in the home but that may change. Firearm storage requirements were reviewed and Applicant was instructed to contact the LPA if one is procured so an inspection can take place.


*PAGE 1 of 3 - Continued on LIC 809-C
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Blake Morillas
LICENSING EVALUATOR SIGNATURE: DATE: 04/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/12/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: LAUDER, LEANNE
FACILITY NUMBER: 313623880
VISIT DATE: 04/12/2021
NARRATIVE
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*PAGE 2 of 3 - Continuation of LIC 809

The outdoor area used by children will consist of a fenced backyard play area. At the moment the front yard, which is unfenced, will not be used until fencing and landscaping takes place. Applicant understand that 100% supervision is required in unfenced areas. Age appropriate toys were observed.

At 9:47am, LPA began to review Children’s files and other documentation that is required for operation of a day care. Applicant owns the home and provided the appropriate forms. LPA reviewed the fire drill requirements.

At this time, the Applicant does not carry liability insurance. LPA explained about obtaining a $300,000 annual aggregate/$100,000 per occurrence liability insurance policy. Applicant understands that until a policy is obtained, they must use the affidavit.

All adult residents received criminal record clearances. LPA reminded Applicant of the applicable Civil Penalty per person for those adults, including your own children, who have not received fingerprint clearances.

The Applicant has completed Mandated Reporter Training. The Applicant also completed CPR/First Aid training at time of application (exp: 1/2023).

LPA provided the Lead Testing brochures (AB 2370), went over the recently implemented Infant Safe Sleep Regulations, as well as went over the current guidelines in operating during the Covid-19 Pandemic. A completed Covid-19 Self Assessment guide has been receive from the Applicant.


*Continued on LIC 809-C
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Blake Morillas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: LAUDER, LEANNE
FACILITY NUMBER: 313623880
VISIT DATE: 04/12/2021
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*PAGE 3 of 3 - Continuation of LIC 809-C

Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available online (www.ada.gov/childqanda.htm). Applicant was encouraged to visit the Department website (ccld.ca.gov) for child care updates, current forms, legislation and regulation information. LPA advised the Applicant of their responsibility to stay current with the requirements of the Department.

At 10:30am, LPA reviewed and discussed this facility evaluation report with the Applicant. The Applicant was informed that when a physical inspections takes place, requests for alterations may be made.



Effective today (4-12-2021) the facility is LICENSED to serve a MAX. CAP: 6 - NO MORE THAN 3 INFANTS OR 4 INFANTS ONLY. CAP 8 - NO MORE THAN 2 INFANTS, 1 CHILD IN KINDERGARTEN OR ELEMENTARY SCHOOL AND 1 CHILD AT LEAST AGE 6.

This report and a Notice of Site Visit will be delivered to the Applicant electronically. Acknowledgement of delivery will constitute acknowledgement of the report in lieu of a signature.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Blake Morillas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2021
LIC809 (FAS) - (06/04)
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