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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376102194
Report Date: 07/07/2026
Date Signed: 07/07/2026 11:51:56 AM

Document Has Been Signed on 07/07/2026 11:51 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:DODGE, JAMIE RENE FAMILY CHILD CAREFACILITY NUMBER:
376102194
ADMINISTRATOR/
DIRECTOR:		JAMIE RENE DODGEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 971-9627
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 7DATE:
07/07/2026
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Jamie DodgeTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 7/7/26 at 9:45 a.m., Licensing Program Analyst (LPA) Jennifer Irving conducted a case management visit to follow up regarding remediation after water damage in the family child care home and the licensee’s request to use alternate areas for child care. LPA met with Licensee Jamie Dodge and explained the purpose of the visit.

During today’s visit, LPA toured the approved child care areas, the area where remediation will occur, and the alternate areas requested for child care use. LPA observed that remediation is expected to occur in Bathroom #3 due to a leak under the bathroom floor. LPA observed the flooring area covered with a safety cover and taped to the floor. LPA also observed Bathroom #3 taped off and made inaccessible to children. The licensee stated that remediation will begin once the bathroom is finished drying out.

The licensee stated that due to the remediation, she would like to use Bedroom #2 and Bathroom #2 for child care. The on-limit areas during remediation will be Bedroom #2, Bathroom #2, the backyard area, living room area, kitchen, and dining room. Pick-up and drop-off will take place through the side gate to the backyard. The off-limit areas will be Bedrooms #1, #3, #4, and #5; Bathrooms #1 and #3; the patio; and the ADU located outside in the backyard area, identified as Bedroom #6, which is made inaccessible by the use of locks.

LPA advised the licensee that child care may continue in the approved child care areas during remediation; however, children must remain only in approved child care areas. LPA further advised the licensee that the remediation area, tools, materials, supplies, equipment, debris, and any other potential hazards must be

NAME OF LICENSING PROGRAM MANAGER: Joelle Redding
NAME OF LICENSING PROGRAM ANALYST: Jennifer Irving
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: DODGE, JAMIE RENE FAMILY CHILD CARE
FACILITY NUMBER: 376102194
VISIT DATE: 07/07/2026
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made inaccessible to children at all times.

The licensee has submitted an updated facility sketch. LPA requested that the licensee also submit a written plan for child care operations during remediation and photos showing how the remediation area and off-limit areas are made inaccessible to children. The written plan should include the areas that will be used for child care, the areas that will remain off-limits, how the remediation area and supplies will be made inaccessible to children, and how pick-up/drop-off and supervision will be maintained during this time.

An exit interview was conducted and the report was reviewed with Licensee Jamie Dodge. A Notice of Site Visit was provided and must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Joelle Redding
NAME OF LICENSING PROGRAM ANALYST: Jennifer Irving
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026
LIC809 (FAS) - (06/04)
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