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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340319878
Report Date: 01/08/2025
Date Signed: 01/08/2025 01:18:28 PM

Document Has Been Signed on 01/08/2025 01:18 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:B.J. JORDAN CHILD CARE - JEFFERSONFACILITY NUMBER:
340319878
ADMINISTRATOR/
DIRECTOR:		HECTOR RAMOSFACILITY TYPE:
850
ADDRESS:2001 PEBBLEWOOD DRIVETELEPHONE:
(916) 920-8188
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: 13DATE:
01/08/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Devra NewhouseTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On Wednesday, 8 January, 2025 at approximately 9:45 AM, Licensing Program Analyst (LPA) Fabian Schwartz met with Acting Site Supervisor Devra Newhouse for the purpose of an unannounced Case Management inspection. LPA observed care and supervision of 13 Preschool children by 4 staff. All persons requiring criminal background checks have been cleared through Guardian system. The license has a maximum capacity of 25. The facility hours of operation are Monday through Friday from 8:00 AM to 5:00 PM. During inspection, Beanstalk Center’s Manager, Tarra Kleiser, joined facility to assist with LPA’s inspection.

Recently, Beanstalk has reported a few instances of Personal Rights violations occurring at the Jefferson site. LPA interviewed Center’s Manager Tarra Kleiser to have explanation about incidents at center as well as why a site supervisor change was not reported to Licensing. 2 incidents of Personal rights violations occurred the past 2 months at the center which were not reported to licensing at the time of their occurrence.

In the first incident, occurring on 7 November 2024, a child was lifted by arm from one cot to another. In the second incident, occurring on 18 December 2024, a child was lifted from one part of classroom and placed in a chair in another part of classroom and prevented from leaving chair by staff.

Both incidents are a violation of children’s personal rights. The first incident resulted in a change of Site supervisors which was not reported to licensing staff.

Report Continued on LIC-809-C........

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE: DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/08/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: B.J. JORDAN CHILD CARE - JEFFERSON
FACILITY NUMBER: 340319878
VISIT DATE: 01/08/2025
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Report Continued from LIC-809.......

Due to these incidents, Facility is being Cited 1 Type A and 1 Type B Title 22 Deficiency Citations. Citations are explained further on attached LIC-809-D Pages.

Title 22 deficiencies are cited on the subsequent pages of this report. Staff acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 809D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the Staff. LIC 9224 and Appeal Rights were provided. Staff's signature on this report acknowledges receipt of these rights.

Exit interview was conducted and report was reviewed with the Acting Site Supervisor. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/08/2025 01:18 PM - It Cannot Be Edited


Created By: Fabian Schwartz On 01/08/2025 at 12:20 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: B.J. JORDAN CHILD CARE - JEFFERSON
FACILITY NUMBER: 340319878

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/09/2025
Section Cited
CCR
101223(a)(3)

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101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

This requirement is not met as evidenced by:
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Management will continue to train staff on personal rights of children in care. Incident has been resolved internally before LPA's Visit. Defeciency cleared during time of inspection.
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Based on observation, interview, and record reviews, facility did not comply with the section cited above by having 2 incidents of staff violating children’s personal rights which poses an immediate health, safety, or personal rights risk to persons in care.
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Type B
02/08/2025
Section Cited
CCR101212(d)

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101212 Reporting Requirements
(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.

This requirement is not met as evidenced by:
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Staff reported incidents to Licensing before LPA's visit. Deficiciency Cleared during time of inspection.
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Based on observation, interview, and record reviews, facility did not comply with the section cited above by not reporting 2 incidents of staff violating children’s personal rights or change in site supervisor to Licensing in required timelines which poses/posed a potential health, safety, or personal rights risk to persons 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:Amanda Blesi
LICENSING EVALUATOR NAME:Fabian Schwartz
LICENSING EVALUATOR SIGNATURE:
DATE: 01/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/08/2025


LIC809 (FAS) - (06/04)
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