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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192010570
Report Date: 04/10/2023
Date Signed: 04/10/2023 07:09:59 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/11/2023 and conducted by Evaluator Veronica Wheatley
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20230111103147
FACILITY NAME:JACKSON FAMILY CHILD CAREFACILITY NUMBER:
192010570
ADMINISTRATOR:JACKSON, JACQUELINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 819-8325
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY:14CENSUS: 2DATE:
04/10/2023
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Jaqueline JacksonTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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1. Licensee does not ensure that day care children are fed while in care.
2. Licensee is not present at the facility a sufficient amount of time.
3. Licensee inappropriately handles day care children.
4. Facility has pests.
INVESTIGATION FINDINGS:
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On 4/10/23, Licensing Program Analyst (LPA), V. Wheatley conducted an inspection and investigation regarding the above allegations. LPA observed licensee present at the facility and supervising two children. LPA observed the children napping. The children ate the following food today: wheat grain cheerios and apple sauce for breakfast. The children ate turkey breast, wheat bread, and fries and avocado.

On 1/19/23, LPA observed the licensee present and caring for two children in care. LPA observed the children eating food. The licensee serves food according to the Food Program. LPA did not observe any allegations. LPA has conducted an inspection and observed the licensee home and caring for the children. The licensee is operating within proper capacity. The licensee does not have an assistant helping at this time.

LPA has not observed any pest or insects on the premises. LPA interviewed witnesses who did not disclose any of the allegations. They did disclosed they have observed the licensee present, caring for children properly, feeding the children and no pests.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 30-CC-20230111103147
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: JACKSON FAMILY CHILD CARE
FACILITY NUMBER: 192010570
VISIT DATE: 04/10/2023
NARRATIVE
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Based on the investigation, which included interviews with relevant parties and observation, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

Exit interview. A copy of a report will be provided to the licensee.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2