073409252-3-8-2022-02-CC-CCON-CCBQA7-20220308105928

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409252
Report Date: 03/03/2022
Date Signed: 03/08/2022 10:59:34 AM

Document Has Been Signed on 03/08/2022 10:59 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	HARNDEN, LORIE		FACILITY NUMBER:	073409252
ADMINISTRATOR:	HARNDEN, LORIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 375-4164
CITY:	RICHMOND	STATE: CA	ZIP CODE:	94804
CAPACITY:	14	CENSUS: 0	DATE:	03/03/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	09:58 AM
MET WITH:	Lorie Harnden		TIME COMPLETED:	12:10 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 Thursday, March 3, 22, Licensing Program Analyst (LPA) Caroline Colson met with Lorie Harnden for an announced change of location prelicensing and technical assistance inspection at 9:58 AM. There are no day care children present. The home was toured to conduct a health and safety inspection. Mrs. Harnden was informed of the civil penalty assessments of up to $500 per adult during the initial inspection for not having cleared fingerprints on file (if needed) before contact with the day care children. The home is a one story home. The home consist of two bedrooms, living room, kitchen with an dinning room, enclosed porch, a hallway closet, outside laundry room, one bathroom located in the home, one half bathroom located in the converted barn which is now an art studio, a chicken coup, fenced backyard, one fenced side yard and one unfenced side yard. Lorie will use her outdoor play space for outdoor play. The second bedroom and chicken coup are the *Off Limits Areas.* There is 3A40BC fire extinguisher, a working combination smoke and carbon monoxide detector. She has heating for the home. Mrs. Harnden states that there are no firearms in the home. Lorie provided Control of Property for the home. There are toys available for the children. Her CPR and First Aid certificates are current and expire on June 19, 2023. The isolation area will be the first bedroom. There are no pets. Fire Clearance was received on February 24, 2022. The following items need to be completed by April 3, 2022: 1. Applicant needs to purchase 3 plastic or wood registers for the home. 2. Applicant needs remove all debris from the back yard and cover the bench with appropriate cushioning. 3. Applicant will secure 4 kitchen drawers. Please See LIC 809 C for additional information

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: HARNDEN, LORIE	FACILITY NUMBER: 073409252
	VISIT DATE: 03/03/2022

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4. Applicant will place license number on all advertisements.
5. Applicant needs to remove gate from between the living room and kitchen to ensure children have access to the bathroom.
6. Applicant needs to place a lock or barricade for the second bedroom.
7. Applicant needs to complete the Health and Safety Training.

REMINDERS/RESOURCES

· Criminal Background Clearance: All assistants, volunteers, frequent adult visitors (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident.

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· NEW LAW: Safe Sleep Regulations: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

· Licensees and all staff are Mandated Reporters and are required to report to CCLD any suspected child abuse.

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov

· Licensees may register to receive child care updates: www.myccl.ca.gov

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417.

An exit interview was conducted. This report must be available for public review for 3 years.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC809 (FAS) - (06/04)

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