073403047-3-11-2024-02-CC-CWAS-D39RHV-20240311130257

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073403047
Report Date: 03/11/2024
Date Signed: 03/11/2024 01:03:03 PM

Document Has Been Signed on 03/11/2024 01:03 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	THOMPSON, LEEANN		FACILITY NUMBER:	073403047
ADMINISTRATOR:	THOMPSON, LEEANN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 439-5485
CITY:	PITTSBURG	STATE: CA	ZIP CODE:	94565
CAPACITY:	14	CENSUS: 2	DATE:	03/11/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	LeeAnn Thompson		TIME COMPLETED:	01:05 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 03/11/2024 at 11:00 AM, Licensing Program Analysts (LPAs) Christina Watts and Brindha Govindsamy conducted an announced case management – licensee initiated for LeeAnn Thompson's large family child care home. Licensee required to be placed back on active status. LPA's met with licensee and guided analyst on a tour of the facility. During today's inspection, there were 2 children in care (1 preschool aged children and 1 school age child) and 5 children enrolled. Also present during the inspection were licensee's grandson, assistant, and CPR instructor. Licensee's grandson, assistant and CPR instructor were in the classroom, conducting CPR/First Aid training. Licensee stated she is the only adult living in the home. Licensee and assistant have Criminal Record Clearance. Facility hours of operations are Monday - Friday from 7:00 AM - 6:00 PM. Licensee completed her Pediatric CPR/First Aid and Mandated Reporter certificate that expires 03/2026. Licensee has documentation maintained for Measles, Pertussis Immunization's, Influenza Opt-Out statement for the current flu season. The licensee provided proof of control of property. This is a one story home which consists of 3 bedrooms, 1 bathroom, kitchen, classroom (living room), family room, attached garage, backyard. The children on limits areas: Bedroom #1, Bedroom #2, Kitchen, Classroom ( Living Room) Bathroom located in bedroom #2, and backyard. Applicant will be utilizing the classroom (living room) as the main room for her day care area. Areas off limits include: Master bedroom (bedroom 1) , Bedroom 2, and Attached Garage. The LPA toured all areas used by children during this visit. Per licensee, there are no firearm in the home. LPA's observed a fully charged 3A10BC fire extinguisher, working dual smoke and carbon monoxide detector. Medicines, cleaning products, sharp objects are stored inaccessible to children. LPA's reminded that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes. LPAs observed one small dog in the facility. *CON'T ON PAGE 2*

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Christina Watts	TELEPHONE: (510) 246-1797
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024

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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: THOMPSON, LEEANN	FACILITY NUMBER: 073403047
	VISIT DATE: 03/11/2024

NARRATIVE

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*PAGE 2*

OUTDOOR SPACE: LPA's toured the outdoor area and observed the fence to be in disrepair in two areas. (Center and Right side of backyard.) During inspection, the fence was observed to be repair. LPA's did not observe any bodies of water. LPA's observed age appropriate toys for children to play with. LPA discussed with licensee that supervision is required when children are playing in the backyard.

LPA's discussed and reminded Applicant day care needs to be operated within the limitations and capacity of a Large Family Child Care Home with regards to ratios and that Licensee has to be present in the day care for 80% of the operation hours. The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at:https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

LPA's provided the main office number for the Oakland Regional Child Care office (510) 622-2602. Licensees are to call and report injuries or unusual incidents within 24 hours of knowledge of occurrence. Licensees are to review the form (LIC 624B) to follow up in writing within 7 days of the injury/unusual incident.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

*CON'T ON PAGE 3*

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Christina Watts	TELEPHONE: (510) 246-1797
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024

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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: THOMPSON, LEEANN	FACILITY NUMBER: 073403047
	VISIT DATE: 03/11/2024

NARRATIVE

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*PAGE 3*

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Facility is recommended for active status, pending completion of Plan of Correction on LIC 809 dated 03/11/2024. Licensee has until 04/08/2024 to complete Plan of Correction and submit required documentation.

During today's inspection, there were no violation observed.

Exit interview conducted and report was reviewed with the licensee, LeeAnn Thompson. A notice of site visit was given and must remain posted for 30 consecutive days.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Christina Watts	TELEPHONE: (510) 246-1797
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024

LIC809 (FAS) - (06/04)

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