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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191609726
Report Date: 05/03/2023
Date Signed: 05/04/2023 09:58:38 AM

Document Has Been Signed on 05/04/2023 09:58 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:JAMISON FAMILY DAY CAREFACILITY NUMBER:
191609726
ADMINISTRATOR:JAMISON, JACQUELYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 658-0134
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
05/03/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Jacquelyn JamisonTIME COMPLETED:
05:30 PM
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On 5/3/23, Licensing Program Analyst (LPA), V. Wheatley conducted a Plan of Correction inspection to verify the deficiencies cited on 4/28/23 have been corrected.

LPA met with licensee Jacquelyn Jamison. Upon arrival, LPA observed licensee parking her vehicle. LPA observed two school aged children get out of the van. LPA walked with licensee into the home. LPA observed 9 children (3 infants) supervised by licensee's assistant Staff #1 and licensee's grandson Staff #2.

Based on LPA's observance, the licensee is operating within proper ratios today.

Exit interview. A copy of the report will be provided to licensee.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2023
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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