197493431-3-24-2021-30-CC-MNEL-C2SUZF-20210507160125

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197493431
Report Date: 03/24/2021
Date Signed: 03/24/2021 05:28:28 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
03/01/2021 and conducted by Evaluator Miriam Cohen

COMPLAINT CONTROL NUMBER: 30-CC-20210301113002

FACILITY NAME:	JACKSON FAMILY CHILD CARE		FACILITY NUMBER:	197493431
ADMINISTRATOR:	JACKSON, KERISHA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 334-9215
CITY:	GARDENA	STATE: CA	ZIP CODE:	90249
CAPACITY:	14	CENSUS: 0	DATE:	03/24/2021
		UNANNOUNCED	TIME BEGAN:	04:36 PM
MET WITH:	Kerisha Jackson, Licensee		TIME COMPLETED:	05:45 PM

ALLEGATION(S):

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Daycare child was hit while in care

INVESTIGATION FINDINGS:

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This report is being delivered electronically per Tele-Visits Procedure for COVID-19.
On 03/24/2021 @ 4:36 PM, Licensing Program Analyst (LPA), Miriam Cohen met with licensee,
Kerisha Jackson, for the purpose of delivering the finding on the above allegation.
Based upon the following observations below, facts revealed that there is not a preponderance of the evidence to support that the licensee committed the allegation mentioned above:
A. Telephone interviews with two parents of children currently enrolled in day care
1) One parent stated that they inquire about children’s activities in the daycare daily and their child, who is very verbal, discloses information without hesitation. Parent believes that child would divulge all information, good or bad. To date, there has been no negative report coming from the child.
2) Another parent declared that their child, who has been enrolled in the above facility for over four and a half years, since its start date in 2016, is very happy and continues to grow in all areas including socially and developmentally.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021

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 30-CC-20210301113002

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: 197493431
	VISIT DATE: 03/24/2021

NARRATIVE

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The parent asserted that discipline policy is included in the handbook which was provided to all parent during enrollment. Per parent, corporal punishment is not a policy that the facility practices.
B. Virtual Interviews, via Facetime, with three children currently enrolled in the above day care (no evidence of physical abuse was disclosed or reported to LPA during interviews).
C. Interview with licensee – submission of a written statement including discipline policy in day care
D. Interview with one assistant - submission of a written statement including discipline policy in day care

Therefore, the following conclusion has been determined concerning the above allegation: Unsubstantiated
Unsubstantiated - A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview and a copy of this report were provided to Kerisha Jackson. The licensee was advised that an email will be sent with the report attached, which has been reviewed during the tele-visit. Ms. Jackson was further counseled that a reply email or read receipt shall be considered an acknowledgement that she is in receipt of this report.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021

LIC9099 (FAS) - (06/04)

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