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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340306413
Report Date: 07/11/2022
Date Signed: 07/21/2022 10:13:10 AM

Document Has Been Signed on 07/21/2022 10:13 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:B.J. JORDAN CHILD CARE PROGRAMS - NORTH HIGHLANDSFACILITY NUMBER:
340306413
ADMINISTRATOR:HEER, HARPEETFACILITY TYPE:
850
ADDRESS:3735 STEPHEN DRIVETELEPHONE:
(916) 331-0301
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY: 54TOTAL ENROLLED CHILDREN: 54CENSUS: 14DATE:
07/11/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Harpeet HeerTIME COMPLETED:
02:15 PM
NARRATIVE
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Licensing Program Analysts Amanda Blesi and Katrina Owens conducted a complaint investigation at the facility and during the investigation it was learned that staff Harpreet Heer did not have a fingerprint clearance on file. Ms. Heer states she has worked in this facility since January 2022.

*****This report was amended on 7/21/22 when it was found that Ms. Heer did have a fingerprint clearance with the Department; however, she was not associated to the facility.


Exit interview conducted and report was reviewed with the facility representative Harpeet Heer. Appeal rights provided.

A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2022
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 07/21/2022 10:14 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 07/14/2022 12:42 PM


Created By: Amanda Blesi On 07/11/2022 at 01:14 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: B.J. JORDAN CHILD CARE PROGRAMS - NORTH HIGHLANDS
FACILITY NUMBER: 340306413

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
07/12/2022
Section Cited
CCR
101170(e)(1)

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Criminal Record Clearance: 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:
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This box is intentionally left blank.
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Citation has been removed.
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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 Peters
LICENSING EVALUATOR NAME:Amanda Blesi
LICENSING EVALUATOR SIGNATURE:
DATE: 07/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/11/2022


LIC809 (FAS) - (06/04)
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