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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394500361
Report Date: 05/18/2022
Date Signed: 05/18/2022 11:02:18 AM

Unsubstantiated


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
03/11/2022 and conducted by Evaluator Stacey Williams
COMPLAINT CONTROL NUMBER: 53-CC-20220311143201
FACILITY NAME:JOY'S IMAGINATION CENTERFACILITY NUMBER:
394500361
ADMINISTRATOR:JOY JACKSONFACILITY TYPE:
850
ADDRESS:240 N UNION STREETTELEPHONE:
(415) 542-6050
CITY:STOCKTONSTATE: CAZIP CODE:
95205
CAPACITY:30CENSUS: 16DATE:
05/18/2022
UNANNOUNCEDTIME BEGAN:
09:24 AM
MET WITH:Joy Jackson TIME COMPLETED:
11:10 AM
ALLEGATION(S):
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Child sustained an unexplained injury while in care
INVESTIGATION FINDINGS:
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On May 18, 2022, Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of delivering complaint findings. LPA met with Facility Representative. LPA observed (16) sixteen children supervised by (3) three staff.

An investigation was conducted regarding the allegation listed above. The facility was inspected. Interviews were conducted with the reporting party, facility staff and parents of children attending the facility. Children were not interviewed due to their age. Facility staff denied any injury occurring on site for child#1. Staff reported that the child came to the facility with the injury and the injury was discussed with C1's parent once noticed. Protocol for food preparation was discussed. Food is prepared offsite and brought to the facility .Food is served to children on paper utensils or tubberware. Outlets are covered throughout the facility and there are no heating devices accessible to children.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2022
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 2
Control Number 53-CC-20220311143201
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: JOY'S IMAGINATION CENTER
FACILITY NUMBER: 394500361
VISIT DATE: 05/18/2022
NARRATIVE
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Based on the information received, the allegation is determined unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur.

No Title 22 deficiencies have been cited for this complaint.

An Exit Interview was conducted in which the report was reviewed and discussed with Facility Representative, Joy Jackson. Appeal rights provided. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2