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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340306413
Report Date: 10/10/2024
Date Signed: 10/10/2024 02:00:50 PM

Document Has Been Signed on 10/10/2024 02:00 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:B.J. JORDAN CHILD CARE PROGRAMS - NORTH HIGHLANDSFACILITY NUMBER:
340306413
ADMINISTRATOR/
DIRECTOR:		HARPEET HEERFACILITY TYPE:
850
ADDRESS:3735 STEPHEN DRIVETELEPHONE:
(916) 331-0301
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY: 54TOTAL ENROLLED CHILDREN: 54CENSUS: 16DATE:
10/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Harpeet HeerTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
NARRATIVE
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On October 10, 2024, at 12:40 PM, Licensing Program Analyst (LPA) Tanya Washington met with Site Supervisor Harpeet Heer for an unannounced case management inspection regarding a self reported incident which occurred on 10/02/2024. During the inspection, Center Manager Tarra Kleiser and Assistant Centers Manager Tiffany McPherson arrived to the facility to assist LPA. Upon arrival LPA observed care and supervision of 16 children supervised by four staff.

It was reported that on 10/02/2024 approximately at 1:30 PM, Child #1 exited classroom #3 without staffs knowledge. LPA learned that Child #1 was being assisted in the restroom by Staff #1. When both exited the restroom Staff #1 returned to the restroom to clean the area. There were two other staff in the class tending to other children who did not observe Child #1 exit the classroom. Child #1 returned to the classroom approximately 27 seconds later. Staff #2 was near the classroom door and observed Child #1 re-enter the classroom and reported the incident to management.

LPA learned from management that the incident was recorded on surveillance camera which was reviewed by LPA. LPA also learned that the facility has notified the parent of the incident.
Since the incident, staff has repositioned the cubbies that were blocking the entrance door from view. The facility staff has also changed the policy to not turn off the door chime during nap time to alert them who enters and exits the classroom.

A copy of this report along with the following page LIC809D shall be provided to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. A civil penalty in the amount of $500.00 is assessed on the following page for absence of supervision.

Exit interview conducted and report was reviewed with Facility Representative Tarra Kleiser.

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. Appeal rights are provided.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Tanya Washington
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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 10/10/2024 02:00 PM - It Cannot Be Edited


Created By: Tanya Washington On 10/10/2024 at 01:36 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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

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

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/11/2024
Section Cited
CCR
101229(a)1

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No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced: Child #1 exited the classroom without staffs knowledge.
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Facility management will provide training to staff regarding supervision and will provide proof of training material and staff signatures to LPAs e-mail.

tanya.washington@dss.ca.gov
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Child exited the classroom into a fenced outdoor play area and reentered the classroom approximately 27 seconds later. This is an immediate risk to the health and safety of children in care. A civil penalty in the amount of $500.00 is assessed.
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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:Amanda Blesi
LICENSING EVALUATOR NAME:Tanya Washington
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2024


LIC809 (FAS) - (06/04)
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