334840812-5-25-2023-10-CC-DMUN-CSBM7U-20230530092203

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334840812
Report Date: 05/25/2023
Date Signed: 05/25/2023 08:59:23 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 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
04/26/2023 and conducted by Evaluator Alaina Wilburn

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20230426140315

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: 2	DATE:	05/25/2023
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Dawn Morris		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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Licensee pushed day care child resulting in an injury to the child.

Licensee pinched day care child resulting in an injury to the child.

Licensee interfered with day care child’s sleep.

INVESTIGATION FINDINGS:

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At 8:00AM on May 25, 2023, Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced complaint visit. LPA met with Licensee Dawn Morris, to deliver findings on the above stated allegation.

Investigation consisted of interview with Licensee and other pertinent parties.

Investigation revealed the following; On 04/26/2023, a complaint allegation was received by the Community Care Licensing (CCL) office that Licensee pushed day care child resulting in an injury to child, Licensee pinched day care child resulting in an injury to the child and Licensee interfered with day care child's sleep. Licensee denies pushing or pinching C1. Father of C1 stated C1 never reported falling to him, but there was a fall. Also, father stated C1 did not report a pinch to him. He advised that there was a mark on C1's ear, but it came from clippers nipping C1's ear as he gave child a haircut. LPA was unable to interview C1, due to a refusal of permission by a parent. As for the allegation that Licensee clapped to wake up C1, Licensee denied the allegation, stating she does not clap or make other loud noises to wake up the children.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

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

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20230426140315

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MORRIS FAMILY CHILD CARE	FACILITY NUMBER: 334840812
	VISIT DATE: 05/25/2023

NARRATIVE

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Based on interviews conducted, the allegations that Licensee pushed day care child resulting in an injury to child, Licensee pinched day care child resulting in an injury to the child and that Licensee interfered with day care child's sleep, may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegations are UNSUBSTANTIATED at this time.

Exit interview conducted. A copy of this report and appeal rights were discussed and provided to the Licensee Dawn Morris on this date.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023

LIC9099 (FAS) - (06/04)

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