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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334840812
Report Date: 04/30/2024
Date Signed: 04/30/2024 02:01:04 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
04/24/2024 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240424165213
FACILITY NAME:MORRIS FAMILY CHILD CAREFACILITY NUMBER:
334840812
ADMINISTRATOR:MORRIS, DAWNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 924-5498
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92551
CAPACITY:14CENSUS: 5DATE:
04/30/2024
UNANNOUNCEDTIME BEGAN:
10:58 AM
MET WITH:Dawn Morris, LicenseeTIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Licensee left daycare children unattended.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jesse Gardner made an unannounced initial complaint visit to the above noted facility. LPA met with the Licensee Dawn Morris and informed them of the purpose of this visit. During this investigation, LPA conducted a tour of the facility, conducted interviews with staff, and requested supportive documentation for review. The following was determined.

It was reported that Child One (C1) was left alone without the supervision of staff. LPA conducted interviews with staff, and confidential witnesses, and reviewed supportive documentation. 2 of 2 Staff interviews revealed that on 4/22/2024, C1 was left alone for approximately 35-40 minutes while staff went to pick up other children from school. C1 was asleep, and staff decided not to take C1 with them upon leaving the facility.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
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-20240424165213
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MORRIS FAMILY CHILD CARE
FACILITY NUMBER: 334840812
VISIT DATE: 04/30/2024
NARRATIVE
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Staff's decision to do this, was due to C1 being left with an adult who was upstairs in their room, while C1 was downstairs. The adult (UA) did not have a cleared background clearance to provide care and/or supervision. The requirement to ensure that children are supervised at all times was not met; and therefore, the allegation was Substantiated.

A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. A Type A citation and an immediate Civil Penalty of $500 was issued as a result.

An exit interview was conducted where a copy of this report was discussed and provided along with copies of the LIC 811 (Confidential Names List), LIC 9099D, LIC 421IM, and Appeal Rights.

The Licensee was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00

When a facility receives a Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days, and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20240424165213
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MORRIS FAMILY CHILD CARE
FACILITY NUMBER: 334840812
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/01/2024
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home: (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed.. This requirement was not being met as evidenced by:
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Licensee agrees to conduct in-service training on the cited regulation, and provide proof of such to LPA by POC date.
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Based on staff interview, the Licensee did not provide the appropriate supervision on 4/22/24 where C1 was left alone without staff supervision. This is an immediate health and safety and/or personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3