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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843493
Report Date: 08/17/2022
Date Signed: 08/17/2022 05:01:11 PM


Document Has Been Signed on 08/17/2022 05:01 PM - 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:BURTON FAMILY CHILD CAREFACILITY NUMBER:
334843493
ADMINISTRATOR:BURTON, WANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 923-4368
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:14CENSUS: DATE:
08/17/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Delma Burton, Staff 1TIME COMPLETED:
05:05 PM
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On 08/17/2022 at 3:00 PM Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility to conduct an annual inspection. LPA was greeted by Staff 1 (S1) Delma Burton, conducted a COVDI-19 pre-screening and granted entry to tour the facility, inside and out. LPA reviewed records, and observed and/or discussed the following: Per S1, the licensee stepped out of the facility temporarily and present were the Staff 1, Staff 2 and Staff 3. The licensee Wanda Burton arrived at approximately 4:30 PM and took over the inspection tour.

Normal days and hours of operation are Monday- Friday, 7:00 AM to 6:00 PM;
OFF-LIMIT AREAS INCLUDE: 1st Floor Bedrooms x 2, Entire 2nd Floor, Garage and Pool.

The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains. Deficiencies not cited this visit.
· The facility is operating within the licensed capacity and appropriate ratios. LPA took a census of 6 children in care, with 3 qualified staff present.
· The Licensee is present in the home and has ensured that children in care are supervised.
· When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children on 08/17/2022.
· A working telephone is present on 08/17/2022.
· Appropriate fire extinguisher tagged by fire dept. 11/03/2021 and in the green, smoke detector and carbon monoxide detector are present and were tested by S1 during this inspection on 08/17/2022.
· All hazardous items are inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children on 08/17/2022.
· Storage of poisons is inaccessible to children and locked on 08/17/2022.
· There is a properly barricaded fireplace
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: BURTON FAMILY CHILD CARE
FACILITY NUMBER: 334843493
VISIT DATE: 08/17/2022
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· No guns or weapons present as stated by the S1. Licensee and Staff, understand all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 regulations.
· Stairs are barricaded on 08/17/2022
· Home is clean and orderly, with heating and ventilation for safety and comfort on 08/17/2022.
· Safe and appropriate toys and equipment are present for both indoor and outdoor activities.
· Outdoor play areas are fenced and/ or appropriate supervision is present
· Verification of control of property on file by grant deed
· Property owner/landlord notification and consent on file
· Pediatric CPR and First Aid training completed 07/2021; Card expire on 07/2023
· Health & Safety Certificate - completed on 05/30/2009.
· Mandated reporter General: NOT ON FILE; AB1207 Child Care Expires: 08/11/2024
· Fire clearance: 09/18/2015
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 03/18/2022 at 11:15 AM, with 12 children present and evacuated to the front yard.
· There ARE bodies of water on 08/17/2022. LPA S.Brewer, inspected the mesh fencing, self-closing gates and preventative safety measures to be in compliance with Title 22 regulations. Licensee Wanda Burton, understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Children’s files are complete on 08/17/2022.
· Staff’s files are complete on 08/17/2022.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
LIC809 (FAS) - (06/04)
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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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: BURTON FAMILY CHILD CARE
FACILITY NUMBER: 334843493
VISIT DATE: 08/17/2022
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The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee Wanda Burton, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA Susan Brewer, discussed the safe sleep regulations with Licensee Wanda Burton, and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

No citations issued on 08/17/2022.

No civil penalties issued 08/17/2022.

A notice of site visit was given and must remain posted for 30 days.

LPA Susan Brewer, conducted and exit interview, reviewed the evaluation report and a copy of the report was left with the Licensee Wanda Burton.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
LIC809 (FAS) - (06/04)
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