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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500369
Report Date: 03/14/2022
Date Signed: 03/14/2022 01:04:33 PM

Document Has Been Signed on 03/14/2022 01:04 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:JOY'S IMAGINATION CENTERFACILITY NUMBER:
394500369
ADMINISTRATOR:JOY JACKSONFACILITY TYPE:
840
ADDRESS:240 N UNION STREETTELEPHONE:
(415) 542-6050
CITY:STOCKTONSTATE: CAZIP CODE:
95205
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 4DATE:
03/14/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Licensee, Joy JacksonTIME COMPLETED:
01:15 PM
NARRATIVE
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On March 14, 2022, Licensing Program Analyst (LPAs) Lauren Scott and Chayntel Hunter met with Licensee, Joy Jackson for the purpose of a case management inspection.

While LPAs were waiting for the Licensee, and conducting a tour of the facility, LPAs observed one child in the room unattended. LPAs noted that a teacher was present in another room, but due to the door being closed, LPAs determined the child was not within the teachers line of sight. Licensee explained that the child had went into the room to grab something and that there is usually a gate up, and the door is open for children to be within the teacher's line of sight.

LPA Hunter informed licensee that this report dated 03/14/22, document 809D 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 Hunter informed the licensee to provide a copy of this licensing report dated 03/14/22 that 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 and Notice of Site Visit were provided. Notice of Site Visit must remain posted for 30 days.
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Lauren Scott
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2022
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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Document Has Been Signed on 03/14/2022 01:04 PM - It Cannot Be Edited


Created By: Lauren Scott On 03/14/2022 at 12:35 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
, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: JOY'S IMAGINATION CENTER
FACILITY NUMBER: 394500369

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/15/2022
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...
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Licensee stated she will remove the door and put up a gate so that children are within teacher's visual line of sight.
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Supervision shall include visual observation. This requirement was not met as evidenced by: LPAs observed one child left unattended in a room, with the door closed. 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.
SUPERVISOR'S NAME:Justin L Denton
LICENSING EVALUATOR NAME:Lauren Scott
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2022


LIC809 (FAS) - (06/04)
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