<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416181
Report Date: 12/08/2023
Date Signed: 12/08/2023 11:18:22 AM

Document Has Been Signed on 12/08/2023 11:18 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:RUSSELL-JONES, TAMMIEFACILITY NUMBER:
013416181
ADMINISTRATOR:RUSSELL-JONES, TAMMIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 632-1727
CITY:OAKLANDSTATE: CAZIP CODE:
94603
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
12/08/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Tammie Russell-JonesTIME COMPLETED:
11:30 AM
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 12/8/23 at 09:30am, Licensing Program Manager (LPM) Loretta Dyson and Licensing Program Analyst (LPA) Brittany Crass arrived at the facility for an unannounced complaint investigation regarding the above allegation. LPM and LPA met the licensee. There was 1 infant, 8 preschoolers and 2 assistants also present.

During the course of interviews conducted it was discovered that 2 adults had been living on the property where the child care is operated without a criminal record clearance.

See LIC 809D for deficiency being cited today. A Type A deficiency was cited during this inspection. The report containing the Type A deficiency must be posted for 30 days. Licensee must provide a copy of this report to all parents of children currently enrolled, and the parents of newly enrolled children in the next 12 months. In addition, form LIC 9224 (Acknowledgment of Receipt of Licensing Reports) must be signed by each parent and placed in each child's file. A copy of the LIC 9224 was provided to the Licensee during the inspection.

A civil penalty is being assessed for a citation listed on this report. You will receive a bill in the mail. Payment is due when billed. Payment must be made by a personal, business or cashier check, or a money order made payable to the "California Department of Social Services". Please write the facility number and invoice number on your check and include a copy of your bill with the payment. You will find the invoice number on your bill. DO NOT SEND CASH.

Exit interview was conducted with the licensee, Tammie Russell-Jones. Appeal rights were provided. A Notice of Site Visit was provided and the licensee was reminded to have it posted for 30 days.

SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Loretta Dyson
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2023
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 2
Document Has Been Signed on 12/08/2023 11:18 AM - It Cannot Be Edited


Created By: Loretta Dyson On 12/08/2023 at 10:11 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: RUSSELL-JONES, TAMMIE
FACILITY NUMBER: 013416181

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/11/2023
Section Cited
CCR
102370(d)

1
2
3
4
5
6
7
102370(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department.
1
2
3
4
5
6
7
Licensee states that the two adults have already moved off of the property, as of October 2023. By 12/11/23, the licensee agreed to review the video on our website, www.ccld.ca.gov regarding Background Check Requirements and submit a
8
9
10
11
12
13
14
This requirement has not been met as evidenced by information disclosed during interviews conducted, indicating that 2 adults are, or had been, living on the property without a criminal record clearance. This poses an immediate risk to the health and safety of children in care.
8
9
10
11
12
13
14
summary of her understanding and agreement with the regulation.
Failure to correct could result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Diane Perez
LICENSING EVALUATOR NAME:Loretta Dyson
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2