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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334840812
Report Date: 06/25/2024
Date Signed: 06/25/2024 02:26:08 PM

Document Has Been Signed on 06/25/2024 02:26 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:MORRIS FAMILY CHILD CAREFACILITY NUMBER:
334840812
ADMINISTRATOR/
DIRECTOR:		MORRIS, DAWNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 924-5498
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92551
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
06/25/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Dawn Morris, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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On June 25, 2024, a non-compliance conference was held at the Riverside Child Care Office. Present during the conference were Regional Manager, Stephanie Hudak, Licensing Program Manager Deborah Mullen, Licensing Program Analyst, Jesse Gardner, Coordinator with Riverside County of Education Resource and Referral, Rosamaria Rodriguez, and Licensee, Dawn Morris.

The following items were discussed:

1. Uncleared Adult in the home
2. Operation of a Family Child Care Home
3. Care and Supervision

The Department will monitor the licensee’s compliance plan over the next 24 months to verify licensee remains in compliance with licensing laws and regulations. The licensee understands and acknowledges that the Department, at its discretion, will make unannounced inspections over the next 24 months to monitor the compliance of this plan. If the Department determines that the licensee has violated the law or regulations it may refer the facility for revocation or other appropriate administrative action.

Additionally, during the initial complaint investigation (#10-CC-20240424165213) it was found that the Licensee was absent for an entire day leaving an uncleared adult to supervise children in care. On today's date, the Licensee was issued a citation in relation to the absence of supervision. Licensee was offered Technical Support Program Services and agreed to receive those services on today's date.

This report was reviewed with and discussed with Licensee, Dawn Morris. Licensee was provided a copy of this report as well as copies of the LIC809D, and Appeal Rights.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2024
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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Document Has Been Signed on 06/25/2024 02:26 PM - It Cannot Be Edited


Created By: Jesse Gardner On 06/25/2024 at 12:47 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MORRIS FAMILY CHILD CARE
FACILITY NUMBER: 334840812

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2024
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 20 percent of the hours that the facility is providing care per day. This requirement was not being met as evidenced by:
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Licensee states they will provide a supervision plan for children in care and provide proof of such to LPA by POC date.
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Based on Licensee interview, care and supervision was not being met when Licensee was absent more than 20% of the day. This is a potential 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.
SUPERVISOR'S NAME:Deborah Mullen
LICENSING EVALUATOR NAME:Jesse Gardner
LICENSING EVALUATOR SIGNATURE:
DATE: 06/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/25/2024


LIC809 (FAS) - (06/04)
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