033619840-9-13-2021-53-CC-JLDN-C6WNQ3-20210916103913

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 033619840
Report Date: 07/28/2021
Date Signed: 09/13/2021 12:50:42 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/14/2021 and conducted by Evaluator Aruna Sridharan

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20210614143229

FACILITY NAME:	WEDGE, JAMIE		FACILITY NUMBER:	033619840
ADMINISTRATOR:	WEDGE, JAMIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 765-6413
CITY:	JACKSON	STATE: CA	ZIP CODE:	95642
CAPACITY:	14	CENSUS: 4	DATE:	07/28/2021
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Jamie Wedge		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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1-Uncleared adults supervise children in care
2-Licensee did not ensure atleast one adult is CPR/First certified while children are in care.

INVESTIGATION FINDINGS:

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On 9/13/2021 LPAs Aruna Sridharan and Jeevun Birk-Miller met with the licensee, Jamie Wedge today, to provide the licensee the complaint report written on 7/28/2021 by LPA Sridharan during a visit to the facility on 7/28/2021. Due to technical issues on 7/28/2021 with LPA Sridharan’s laptop, LPA was unable to leave the complaint report with the licensee. Due to further review of the above allegations this report was amended on 9/13/21 to reflect the following findings.

On 06/14/2021 a complaint was filed alleging that an un-fingerprinted adult (A 1) was assisting the licensee’s regular assistant with the care of day care children on 06/14/2021 while the licensee was away from the facility. The complainant also alleged that the licensee’s assistant did not have CPR training. During the investigation LPA Sridharan interviewed the licensee, licensee’s assistant, (licensee’s mother) and several parents as well as doing a review of documents.

Report continues on 9099 C....

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna Sridharan	TELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 53-CC-20210614143229

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: WEDGE, JAMIE	FACILITY NUMBER: 033619840
	VISIT DATE: 07/28/2021

NARRATIVE

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The licensee stated she had been considering hiring A 1 as an assistant and had invited A 1 to visit her facility on 06/14/2021 to observe her facility and determine if A 1 wanted to work for her. Licensee stated A 1 brought A 1’s own two children but that the census for 06/14/2021 was a total of six day care children. The interview with the licensee’s assistant revealed that the licensee had invited A 1 to come to the facility to meet her. Parents interviewed were not able to provide details about the licensee’s alleged helper and therefore, it could not be determined if A 1 was providing direct care and supervision to day care children on 06/14/2021. Contact information for A 1 was unavailable and therefore, LPA Sridharan could not interview A 1.

During a complaint visit on 6/17/2021 when LPA Sridharan initially visited the facility regarding the complaint, LPA asked the licensee for proof of her mother’s/assistant’s CPR card. The licensee stated she is a CPR/First Aid provider and that her mother did take the CPR training, but she/licensee forgot to fill out a CPR completion card for her mother. On 7/28/2021 the licensee provided the completed CPR card to LPA Sridharan.

Although the allegations may be valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the findings for the two above allegations are unsubstantiated. No deficiencies were cited at this time. An exit interview was conducted in which the report was reviewed and discussed with the licensee, Jamie Wedge. Appeal rights were also provided and discussed with the licensee. LPA Sridharan posted a Notice of Site Visit at the facility before LPAs exited the facility.

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna Sridharan	TELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021

LIC9099 (FAS) - (06/04)

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