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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313607118
Report Date: 01/17/2020
Date Signed: 01/17/2020 10:11:09 AM

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:LIEBE, LOREEFACILITY NUMBER:
313607118
ADMINISTRATOR:LIEBE, LOREEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 652-7436
CITY:LOOMISSTATE: CAZIP CODE:
95650
CAPACITY:14CENSUS: 5DATE:
01/17/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Loree LiebeTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Amanda Blesi met with the Licensee, Loree Liebe, for the purpose of an unannounced Annual inspection. The Licensee's assistant/mother Susie Smith, was also present upon arrival. LPA asked if anyone else was present in the home today and licensee stated her husband and adult son. All individuals subject to criminal background review have obtained a criminal record clearance. Today’s census was 1 infant and 4 children over age two.

A health and safety inspection was conducted in all areas accessible to children. Off-limits areas include all bedrooms. Licensee acknowledged that children may never enter these off-limit areas. LPA observed a working phone, fire extinguisher, and functioning smoke and carbon monoxide detectors.

Licensee stated there are no weapons in the home. Toxic and hazardous items (detergents, cleaning compounds, medications, sharp utensils, items that could pose a danger to children in care) are properly stored and inaccessible to children. The fireplace in the home is appropriately barricaded to prevent access by children. There are no stairs in the home. Safe toys and play equipment are observed. The outdoor play space is fenced. The backyard and front yard are fenced and gated. LPA observed an above ground spa on the property which was observed covered and locked on all four sides. There is an in ground pool on the property. The pool is located in licensee's parent's yard which is adjacent to licensee's home. There are three homes on the property that share the same address. The pool fencing does not meet title 22 requirements and is not completely surrounded by a five foot high fence. There is a small white picket fence gate, approximately three feet high, that opens into the front porch which is preventing the pool from being completely surrounded by a fence. Licensee has installed a wrought iron fence to encompass her front yard however there are two windows which face into the front yard parking area near where the pool is located. Licensee states the windows are unable to be opened due to the age and condition of the windows. One window contains and air conditioning unit. Licensee states she will request a waiver to install alarms on the two windows.

Some children’s files were reviewed. A current roster is being maintained. Licensee fire and disaster drills are conducted and documented. CPR and first aid training were verified and expire 2021. Mandated Reporter Training (AB 1207) for Licensee was also verified and expires in 2021.

This provider is currently providing IMS services to children in care. Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
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: LIEBE, LOREE
FACILITY NUMBER: 313607118
VISIT DATE: 01/17/2020
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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, available at: http://www.ada.gov/childqanda.htm.

LPA verified the annual fees are current. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so the Licensee can request to be added to the distribution list to receive Quarterly Updates.

LPA provided and discussed the Lead Testing brochure (AB 2370) and updated Blue Immunization Cards (CDPH 286)




LPA reviewed and discussed this facility evaluation report with the Licensee. LPA provided a Notice of Site Visit and the Licensee acknowledges that this notice should remain posted for 30 days for parental review. Licensee was encouraged to visit the Department website at http://ccld.ca.gov for child care updates, current forms, legislation and regulation information.

LPA obtained an updated LIC 279 during today's inspection.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, deficiencies are noted on the following report. See LIC 809-D. Appeal rights provided.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
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: LIEBE, LOREE
FACILITY NUMBER: 313607118
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/24/2020
Section Cited

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All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence.
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This requirement was not met as evidenced by: there is a pool on the property next to licensee's home where the fence does not completely surround the pool. The pool is located next to licensee's home. There are two windows that face into the property where the pool is located. this is a potential risk to the health and safety of children in care.
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Type B
01/24/2020
Section Cited

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Evidence of a current tuberculosis clearance, not more than one year prior to or seven days after initial presence in the home, for any adult in the home during the time that children are under care. This requirement was not met as evidenced by: licensee's adult son lives in the home and does not have a current TB test. This is a potential health and safety risk to children.
Type B
01/24/2020
Section Cited

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MANDATED REPORTER TRAINING: Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion. LIcensee's assistant has not completed the training.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:
DATE: 01/17/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3