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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455407991
Report Date: 10/22/2025
Date Signed: 10/22/2025 02:26:54 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/23/2025 and conducted by Evaluator Sydney Sims
COMPLAINT CONTROL NUMBER: 13-CC-20250723154629

FACILITY NAME:HAGERMAN, JAMIELYN FAMILY CHILD CARE HOMEFACILITY NUMBER:
455407991
ADMINISTRATOR:HAGERMAN, JAMIELYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 515-5280
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:14CENSUS: 2DATE:
10/22/2025
UNANNOUNCEDTIME BEGAN:
08:19 AM
MET WITH:Jamielyn Hagerman - Licensee TIME COMPLETED:
09:55 AM
ALLEGATION(S):
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Licensee failed to report incident as required
INVESTIGATION FINDINGS:
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On 10/22/25 at 8:20am, Licensing Program Analyst (LPA) Sydney Sims conducted an unannounced complaint inspection, and met with licensee Jamielyn Hagerman It was alleged that Licensee failed to report incident as required, specifically that the Licensee was aware of an an allegation made against the facility and did not report it as required.

The licensee was interviewed on 7/24/25 at 2:18PM and confirmed the allegation stating that the Licensee was aware of the allegations made against the facility but did not file a unusual incident report with the Community Care Licensing Division.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 13-CC-20250723154629
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: HAGERMAN, JAMIELYN FAMILY CHILD CARE HOME
FACILITY NUMBER: 455407991
VISIT DATE: 10/22/2025
NARRATIVE
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On 10/22/25 the facility was toured and the LPA observed two children in care

During the investigation the Licensee’s interview confirmed the allegation and record review supported the confirmation showing that no unusual incident report was received by the department.

Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D.

Exit interview conducted and report was reviewed with the licensee Jamielyn Hagerman. Appeal rights were provided.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 13-CC-20250723154629
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO CC RO, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: HAGERMAN, JAMIELYN FAMILY CHILD CARE HOME
FACILITY NUMBER: 455407991
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/24/2025
Section Cited
CCR
102416.2(c)(1)
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In addition to... the licensee shall report the following events to the Department:
(1) Any suspected child abuse or neglect, as defined in Penal Code Section 11165.6, of any child in care...
This requirement was not met as evidenced by:
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The Licensee will watch CCLD video on reporting requirements and review regulations on reporting requirements. Licensee will then write statement acknowledging the Licensee will comply with requirements and send statement to LPA Sims by 11/24/25
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Based on interview and record review, the licensee did not comply with the section cited above by not filing an unusual incident report as required , which poses a potential health, safety, or 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: Megan Aviles
LICENSING EVALUATOR NAME: Sydney Sims
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5