334840812-1-27-2021-10-CC-DPAR-BY624J-20210211160401

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334840812
Report Date: 01/27/2021
Date Signed: 01/27/2021 01:45:25 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/21/2020 and conducted by Evaluator James Wilkerson

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20200921154711

FACILITY NAME:	MORRIS FAMILY CHILD CARE		FACILITY NUMBER:	334840812
ADMINISTRATOR:	MORRIS, DAWN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 924-5498
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92551
CAPACITY:	14	CENSUS: 6	DATE:	01/27/2021
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Dawn Morris		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Licensee did not provide adequate care and supervision resulting in children jumping over the fence which causes a safety hazard.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) James Wilkerson contacted Licensee, Dawn Morris via video conferencing (FaceTime) to conclude an investigation into the above allegation and provide the finding on the allegation. The initial visit took place on 09/22/20 and was extended at that time. There was an allegation that the there is a lack of supervision as child(ren) jump the fence in the backyard. During the course of this investigation, LPA conducted interviews with enrolled children. Information received from the interviews disclosed that child #1 throws toy(s) over a fence and has climbed over the fence to retrieve the toy(s). Child #2 & #3 stated that they can’t remember if they’ve actually seen this happen but were told by child #1 that he/she has climbed the fence to get a toy back that he/she threw over the fence. Another interview with someone who does not attend the facility disclosed that child #1 had told him/her that child #1 had thrown toy(s) over a fence and climbed it to retrieve the toy. From the information received by interviews with children and another party that a child had told them he/she throws toy(s) over the fence and climbs the fence to retrieve the toy(s). The Licensee also admits she has seen a child climbing back into her yard over the fence from a neighbor's yard.
CONTINUED ON NEXT PAGE

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 10-CC-20200921154711

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MORRIS FAMILY CHILD CARE	FACILITY NUMBER: 334840812
	VISIT DATE: 01/27/2021

NARRATIVE

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The preponderance of evidence has been met and the above allegation is SUBSTANTIATED.

A copy of this report will be emailed to Ms. Morris. A return email acknowledging the receipt of this report will be used in lieu of a signature due to the COVID-19 pandemic.

Due to the COVID-19 State of Emergency, this report was completed via Tele-Inspections Report Delivery Instructions.

Appeal Rights discussed and will be provided along with a copy of this report via email to Ms. Morris on this date.

A copy of this report must be available, upon request for three years.

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2021

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20200921154711

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MORRIS FAMILY CHILD CARE	FACILITY NUMBER: 334840812
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/27/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/26/2021 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	Operation of a Family Child Care Home: The licensee shall be present in the home and shall ensure that children in care are supervised at all times. This requirement was not met as evidenced by a child throwing toy(s) over a backyard fence and climbing the fence to retrieve the toy(s).	1 2 3 4 5 6 7	Licensee agrees to provide a written statement to Community Care Licensing on how to prevent children from climbing the fence in the backyard and submit the statement by 02/01/21.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2021

LIC9099 (FAS) - (06/04)

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