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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 340306413
Report Date: 07/11/2022
Date Signed: 07/11/2022 01:43:22 PM

Substantiated


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
07/06/2022 and conducted by Evaluator Amanda Blesi
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20220706122821
FACILITY NAME:B.J. JORDAN CHILD CARE PROGRAMS - NORTH HIGHLANDSFACILITY NUMBER:
340306413
ADMINISTRATOR:HEER, HARPEETFACILITY TYPE:
850
ADDRESS:3735 STEPHEN DRIVETELEPHONE:
(916) 331-0301
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY:54CENSUS: 14DATE:
07/11/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Harpeet HeerTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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PERSONAL RIGHTS: Staff not following day-care child's dietary restrictions resulting in child having an allergic reaction
INVESTIGATION FINDINGS:
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LIcensing Program Analysts (LPA's) Amanda Blesi and Katrina Owens arrived at approximately 11:30am on Monday, July 11, 2022 to open and close a complaint at the facility. LPA's arrived to the facility and met with Harpreet Heer and interviewed staff regarding the complaint. It was learned that on July 1, 2022, child #1, who has known food allergies to dairy, was served lunch that contained dairy. Interviews revealed they were short staffed that day and the cook, who knew of the child's dietary needs was out that day. It was reported the child did not eat the food; however did touch the food and then rubbed their face which caused allergic reaction to occur.

Based on the evidenced obtained, the preponderance of evidence standard was met; therefore, the allegation is substantiated.

See following page LIC 809-D for Type A deficiency.
Report is continued on the following Page LIC 809-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2022
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-20220706122821
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: 07/11/2022
NARRATIVE
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Title 22 Deficiency has been cited on the attached LIC 9099-D. LPA Amanda Blesi informed facility representative Harpreet Heer that this report dated July 11, 2022 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
Also, LPA Amanda Blesi informed the facility representative to provide a copy of this licensing report dated July 1, 2022that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Appeal Rights given.

Exit interview conducted and report was reviewed with the facility representative Harpreet Heer.

A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20220706122821
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: 07/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/12/2022
Section Cited
CCR
101223(a)(2)
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Personal Rights: he licensee shall ensure that each child is accorded the following personal rights:
2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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LPA spoke with Supervisor Karen who stated they have discussed the incident with staff and held a training regarding food allergies and food preparation. They will now use flash cards showing a picture of the foods that cannot be served and an appropriate substitution. To clear the deficiency, the program shall submit to LPA a written plan outlining the procedures they put in place and what was discussed during the staff training. The written plan shall be sent to LPA by close of business 7/12/22 to clear the deficiency.
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This requirement was not met as evidenced by: Child #1, who is allergic to dairy, was served food containing dairy on July 1, 2022 which caused the child to have an allergic reaction. Staff were aware of the child's food allergies and needs; however, on this day they were short staffed and they inadvertently served the food to the child. This is an immediate health and safety risk to 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.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3