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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 340319878
Report Date: 03/27/2024
Date Signed: 03/27/2024 12:46:28 PM

Document Has Been Signed on 03/27/2024 12:46 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:HECTOR RAMOSFACILITY TYPE:
850
ADDRESS:2001 PEBBLEWOOD DRIVETELEPHONE:
(916) 920-8188
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: 15DATE:
03/27/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Colleen McEneanyTIME COMPLETED:
01:00 PM
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Licensing Program Analysts(LPA) Erwina Pascual-Golamco and Fabian Schwartz, met with Facility Representative, Colleen McEneany, for a case management visit to discuss UIR from 2/26/24. Purpose of the visit was explained. During today's visit, LPA observed staff provide care to children, conducted interviews, and requested facility documents.

Census included 15 children and 4 staff. No deficiencies cited during today's visit. Exit interview conducted and report was reviewed with Facility Representative, Colleen McEneany. A notice of site visit was given to Facility Representative, who will post it where visible to parents/guardians for 30 days.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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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