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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492956
Report Date: 08/11/2023
Date Signed: 08/11/2023 10:56:27 AM

Document Has Been Signed on 08/11/2023 10:56 AM - 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:THOMASON FAMILY CHILD CAREFACILITY NUMBER:
197492956
ADMINISTRATOR:HALSTEAD, JENNIFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 557-4696
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
08/11/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:19 AM
MET WITH:Jennifer Thomason,LicenseeTIME COMPLETED:
11:10 AM
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On 08/11/23, Licensing Program Analyst (LPA) Justeene Tamayo met with licensee Jennifer Thomason who guided LPA on a tour of the facility. The purpose of this visit was to conduct a follow up Case Management - Incident inspection for an Unusual Incident that was received by the Department on 05/05/23. The Unusual Incident was self-reported within the time frame specified by regulations. Upon arrival, LPA observed 3 infants, 7 preschool children, with 2 staff present, and the licensee.

Description of incident: On 05/05/23, licensee received text messages from day care parents concerning the lack of supervision provided from assistant #1. On multiple occasions, assistant #1 left child #1 and child #2 unattended in a car without a car seat/booster seat, and without the permission of the licensee, while assistant #1 ran errands.

After interviews conducted with staff, it was revealed the licensee took appropriate measures to ensure the health and safety of each child. There was no immediate danger to child #1 and child #2 at this time, Assistant #1 has been permanently terminated from the facility.

No deficiencies are being cited at this time.

An exit interview was conducted, and a copy of this report was provided to the licensee, along with her Notice of Site Visit.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Justeene Tamayo
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2023
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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