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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191609726
Report Date: 10/04/2024
Date Signed: 10/09/2024 01:54:23 PM

Document Has Been Signed on 10/09/2024 01:54 PM - 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/
DIRECTOR:		JAMISON, JACQUELYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 658-0134
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
10/04/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:45 PM
MET WITH:Jacqueline JamisonTIME VISIT/
INSPECTION COMPLETED:
05:50 PM
NARRATIVE
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On 10/4/24, Licensing Program Analyst (LPA), V. Wheatley conducted an inspection. LPA met with the licensee, Jacquelyn Jamison and toured the home. LPA observed 12 children on the premises (eight children outside playing with licensee's adult grandson and four children) inside with the licensee. LPA interviewed three school aged children.

Based on information obtained through interviews which were conducted, the licensee is being cited a Type A violation for Personal Rights. See LIC 802-D.

Exit interview conducted. A copy of this report will be provided to licensee. A copy of this report must be given to all the parents of any child enrolled and any child that is enrolled within the next 12 months. The parents must sign LIC 9224 (Acknowledgement of Receipt) Licensee will post Notice of Site Visit for 30 Days.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2024
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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Document Has Been Signed on 10/09/2024 01:54 PM - It Cannot Be Edited


Created By: Veronica Wheatley On 10/04/2024 at 05:17 PM
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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: JAMISON FAMILY DAY CARE
FACILITY NUMBER: 191609726

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/04/2024
Section Cited
CCR
102423(a)(4)

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102423(a)(4) -Personal Rights -Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (4)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature,
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Licensee will submit a plan of correction by 10/7/24 stating how she plans to properly discipline children and be incompliance with Title 22 Regulations. Licensee will be informed by the Department in regards to taking a class or workshop to improve her interaction with children.
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This is evidences by: Based on interviews and demonstration, Licensee uses inappropriate discipline with the day care children. LPA uses improper time-out by placing the children in the corner. Also, according to children, the licensee yells at the children as a form of discipline. This is an immediate risk to the health and safety to children in care.
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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:Maureen Neal
LICENSING EVALUATOR NAME:Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE: 10/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/04/2024


LIC809 (FAS) - (06/04)
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