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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 340306413
Report Date: 04/19/2021
Date Signed: 04/20/2021 02:15:05 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
04/12/2021 and conducted by Evaluator Tanya Washington
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210412150801
FACILITY NAME:B.J. JORDAN CHILD CARE PROGRAMS - NORTH HIGHLANDSFACILITY NUMBER:
340306413
ADMINISTRATOR:SPURGEON, DAWNAFACILITY TYPE:
850
ADDRESS:3735 STEPHEN DRIVETELEPHONE:
(916) 331-0301
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY:54CENSUS: 15DATE:
04/19/2021
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Dawna SpurgeonTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Facility is exceeding license limitations
Facility is commingling toddlers with preschoolers
INVESTIGATION FINDINGS:
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On 04/19/2021 at 9:25 AM, Licensing Program Analyst (LPA) Tanya Washington contacted Site Supervisor, Dawna Spurgeon regarding the above complaint allegations. Due to COVID19 pandemic and recommendations of California Department of Health (DPH) the inspection is being conducted remotely via Facetime.
With the help of Site Supervisor the toddler and preschool classrooms were toured. LPA observed care and supervision of eight preschool age children in the preschool room supervised by two staff. In the toddler classroom there were seven children ranging in age from 31 months to 44 months, supervised by four staff.
Reporting Party alleged that children who age out in the toddler room physically remain in the toddler option classroom. RP also alleged that children from both classrooms are combined at the end of each day due to inadequte amount of fully qualifed staff.
Continued on LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2021
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 3
Control Number 03-CC-20210412150801
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: B.J. JORDAN CHILD CARE PROGRAMS - NORTH HIGHLANDS
FACILITY NUMBER: 340306413
VISIT DATE: 04/19/2021
NARRATIVE
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During the course of the investigation LPA conducted interviews and reviewed children's records. LPA learned that at least four children who were present in the toddler classroom on 4/19/2021 are over the age of 36 months. LPA also learned that children are daily combined as early as 4 PM to closure also due inadequate amount of fully qualified staff.

Two Type A deficiencies are cited on the following LIC9099D, hence AB633 Notification Applies: Upon receipt of this report, the report must be posted along with the notice of site visit for 30 days for parents to view. Licensee must inform the parents/guardians of children in care at the facility and to the parents/guardians of children newly enrolled at the facility during the next 12 months via form LIC9224.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20210412150801
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: B.J. JORDAN CHILD CARE PROGRAMS - NORTH HIGHLANDS
FACILITY NUMBER: 340306413
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/19/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/03/2021
Section Cited
HSC
1596.955(a)
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Limitations on Capacity
The department shall develop guidelines and procedures to permit licensed child day care centers serving preschool age children to create a special program component for children between 18 months to three years of age...
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Site Supervisor stated that she will get in contact with her Program Office to work out a plan of correction which is due no later than 05/03/2021.
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This requirement is not met as evidenced: LPA learned that facility allows children over three years old to remain in the toddler option classroom. This is an immediate risk to the health and safety of children in care.
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Type A
05/03/2021
Section Cited
CCR
101161(a)
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A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
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Site Supervisor stated that she will get in contact with her Program Office to work out a plan of correction which is due no later than 05/03/2021.
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This requirement is not met as evidenced; LPA learned that children from the preschool classroom and toddler option classroom are combined at the end of each day due to staffing. This is an immediate risk to the health and safety of children in care.
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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: Roxana SaraviaTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Tanya WashingtonTELEPHONE: 916-879-1209
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3