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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313623880
Report Date: 04/19/2021
Date Signed: 04/19/2021 11:22:46 AM

Document Has Been Signed on 04/19/2021 11:22 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: 0DATE:
04/19/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
11:04 AM
MET WITH:Leanne Lauder - LicenseeTIME COMPLETED:
11:30 AM
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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 19th, 2021, at 11:11am, Licensing Program Analyst (LPA) Blake Morillas began a Case Management tele-inspection with Licensee, Leanne Lauder, due to the Licensee coming into position of their first firearm. At the beginning of the visit the Licensee was asked how many day care children were present, replying that 0 were in attendance.

At 11:12am, with the help of the Licensee, the LPA was shown where the firearm is being stored. From what could be observed, the firearm and ammunition are being stored locked and separately according to Title 22 Regulations.

Please note: When a physical inspections takes place, requests for alterations may be made.

At 11:13am the report was reviewed with the Licensee and an exit interview was conducted.

Notice of site visit to be posted for 30 days.

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: 04/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2021
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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