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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313607118
Report Date: 02/25/2020
Date Signed: 02/25/2020 09:36:21 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) 847-0038
CITY:LOOMISSTATE: CAZIP CODE:
95650
CAPACITY:14CENSUS: 5DATE:
02/25/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Loree LiebeTIME COMPLETED:
09:45 AM
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Licensing Program Analyst Amanda Blesi arrived at the facility for a plan of correction visit. On 01/17/20 Ms. Liebe was issued a deficiency because her parent’s in ground pool, located next door on the shared property, is not completely surrounded by a fence. Ms. Liebe had installed wrought iron fencing in the front yard of her home to prevent access to pool area, however there are two windows in the playroom that face out onto the property where the pool is located. As a plan of correction Ms. Liebe requested a waiver to use alarms on the windows and stated the windows are difficult to open. The waiver request has been denied.

To correct the deficiency, Ms. Liebe shall completely surround the swimming pool with a fence which meets Title 22 Regulation or construct a separation fence to all doors or windows which provide direct access to the pool area.

There is a five feet high chain-link fence surrounding back yard play area. The openings in the fence are more than 1 ¾ diameter, therefore it is deemed easily climbable by a child under six years old. Ms. Liebe was advised to install a heavy gauge mesh material to cover the openings in the chain link fencing so that it cannot be easily climbed by a child.

LPA received a current TB test for son Dylan and observed mandated reporter certificate for assistant Susan Smith, therefore the two Type B deficiencies cited during the annual visit are cleared at this time.

A deficiency for the unfenced pool is being cited today. 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: 02/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: LIEBE, LOREE
FACILITY NUMBER: 313607118
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/25/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/03/2020
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 and the fence does not completely surround the pool. The pool at licensee’s parent’s house which is located next to licensee's home but on the same property. Licensee has two windows in the playroom that face onto 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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In addition, Licensee shall fix the chain link/Cyclone fencing in the back yard play area so the openings are no more than 1 3/4 inches.

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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: 02/25/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/25/2020
LIC809 (FAS) - (06/04)
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