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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004800
Report Date: 12/13/2024
Date Signed: 12/13/2024 02:08:44 PM

Document Has Been Signed on 12/13/2024 02:08 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:JAMESON, GLORIAFACILITY NUMBER:
414004800
ADMINISTRATOR/
DIRECTOR:		JAMESON, GLORIA C.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 875-0336
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
12/13/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Gloria JamesonTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On December 13th, 2024, at approximately 1:10 PM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced, plan of correction (POC) visit. LPA met with licensee, Cristina (Gloria) Jameson, and explained the purpose of the visit. Present during today's visit included licensee and her assistant(mother) and 6 enrolled children (3 infants and 3 Preschoolers).

On December 6th, 2024, at approximately 2:10 PM, LPA Gil conducted an unannounced, annual inspection. During annual inspection, licensee was issued one Type A citation for operating over licensed capacity limits, operating with 5 infants (under 24 months), and 5 preschoolers. Licensee was also issued one Type B citation for missing LIC 995's in children's paperwork. A POC was discussed with licensee.

As of this date, LPA observed licensee to be operating with 6 children (3 infants and 3 preschool age). LPA observed all children files had LIC 995 during inspection. During visit, LPA also observed Notice of Site Visit to be properly posted and available for review.

LPA confirmed licensee to be operating within licensed capacity limits on this date.

Deficiencies cited on December 6th, 2024, have been cleared during today's visit. LPA provided licensee with POC letters. Licensee was given a civil penalty for a repeat violation. Licensee was issued a Type A deficiency on March 7th, 2024 for facility operating over capacity. No deficiencies were cited today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with licensee, Cristina(Gloria) Jameson.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE: DATE: 12/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2024
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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