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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197409429
Report Date: 10/16/2020
Date Signed: 10/16/2020 12:44:56 PM



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
07/20/2020 and conducted by Evaluator Shandra Powell
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20200720150841
FACILITY NAME:JACKSON FAMILY CHILD CAREFACILITY NUMBER:
197409429
ADMINISTRATOR:NOREEN JACKSONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 779-0606
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:14CENSUS: 7DATE:
10/16/2020
UNANNOUNCEDTIME BEGAN:
12:34 PM
MET WITH:Noreen Jackson, LicenseeTIME COMPLETED:
12:44 PM
ALLEGATION(S):
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9
Personal Rights - Staff yell at children in care
INVESTIGATION FINDINGS:
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This complaint inspection was conducted by Licensing Program Analyst (LPA) Shandra Powell Due to COVID-19 and precautionary measures, this inspection was conducted via teleconference. The teleconference was conducted with Licensee Noreen Jackson. There were 7 children and 3 staff present during today's inspection.

During the course of the investigation LPA Powell conducted interviews with the Licensee, Parents, and Staff. Complainant is alleging that facility staff yell at children in care. LPA interviewed staff and parents who deny the allegation.There were no disclosures from staff nor parents supporting evidence to substantiate the allegations. Therefore the allegation is Unsubstantiated.
Unsubstantiated – A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted with licensee. This report will be sent to licensee via email with a read receipt or confirmation of receipt of email, which will act as the licensee's signature.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2020
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-20200720150841
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: 197409429
VISIT DATE: 10/16/2020
NARRATIVE
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Exit interview was conducted with Licensee Ms. Jackson. The Licensee will also receive a copy of their appeal rights (LIC 9058) via email.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2