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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 354416074
Report Date: 06/16/2021
Date Signed: 06/16/2021 12:49:43 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2021 and conducted by Evaluator Deanna Villagrana
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20210520094256
FACILITY NAME:MEIER-JEWETT, JACQUELINEFACILITY NUMBER:
354416074
ADMINISTRATOR:JACQUELINE MEIER-JEWETTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 801-2261
CITY:HOLLISTERSTATE: CAZIP CODE:
95023
CAPACITY:14CENSUS: 2DATE:
06/16/2021
UNANNOUNCEDTIME BEGAN:
11:02 AM
MET WITH:Jacqueline Meier-JewettTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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9
Licensee hit a day care child
Unsanitary conditions in the yard where children play
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Deanna Villagrana met with licensee Jacqueline Meier-Jewett to deliver findings for the above allegations. Present were licensee, licensee's husband, licensee's adult daughter, her granddaughter and one day care child age two.

Based on LPA's observation and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Licensee's daughter, Michelle Jewett admitted to smacking a child's hand. LPA observed the backyard play area is unsanitary for children including a strong odor of dog urine. LPA observed toys are unclean and have dog hair on them. California Code of Regulations, Health and Safety Code 1596.80, are being cited on the attached LIC9099D.


Notice of site visit was issued and must be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
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 4
Control Number 07-CC-20210520094256
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: MEIER-JEWETT, JACQUELINE
FACILITY NUMBER: 354416074
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/23/2021
Section Cited
CCR
102423(a)(4)
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102423(a)(4) Personal Rights. Each child shall be free from corporal or unusual punishment. This requirement was not met as evidenced by Licensee's daughter, Michelle Jewett admitted to smacking a child's hand.
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Licensee will submit a letter to LPA stating she understand each child shall be free from corporal or unusual punishment and speak to her daughter regarding citation.
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This poses a potential risk Health, Safety Personal Rights risk to children in care.
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Type B
06/23/2021
Section Cited
CCR
102417(b)
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102417(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement was not met as evidenced by LPA observed the backyard play area is unsanitary for children including a strong odor of dog
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Licensee will clean all toys and play structures and ensure the home including the backyard does not have an odor of dog urine.
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urine. LPA observed toys are unclean and have dog hair on them.
This poses a potential risk Health, Safety Personal Rights 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: Mary Segura
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2021 and conducted by Evaluator Deanna Villagrana
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20210520094256

FACILITY NAME:MEIER-JEWETT, JACQUELINEFACILITY NUMBER:
354416074
ADMINISTRATOR:JACQUELINE MEIER-JEWETTFACILITY TYPE:
810
ADDRESS:961 PEAR STREETTELEPHONE:
(831) 801-2261
CITY:HOLLISTERSTATE: CAZIP CODE:
95023
CAPACITY:14CENSUS: 2DATE:
06/16/2021
UNANNOUNCEDTIME BEGAN:
11:02 AM
MET WITH:Jacqueline Meier-JewettTIME COMPLETED:
12:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee spoke inappropriately to a day care child
INVESTIGATION FINDINGS:
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3
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5
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7
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9
10
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13
Licensing Program Analyst (LPA) Deanna Villagrana met with licensee Jacqueline Meier-Jewett to deliver findings for the above allegation. Present were licensee, licensee's husband, licensee's adult daughter, her granddaughter and one day care child age two.

Based on interviews conducted, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

No deficiency was cited.

Notice of site visit was issued and must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4