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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334844394
Report Date: 11/08/2021
Date Signed: 11/08/2021 02:07:14 PM

Unsubstantiated


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
09/29/2021 and conducted by Evaluator Sumayya Habeebulla
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210929125926
FACILITY NAME:BURTON FAMILY CHILD CAREFACILITY NUMBER:
334844394
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
11/08/2021
UNANNOUNCEDTIME BEGAN:
01:12 PM
MET WITH:Licensees - Rosemarie Burton & Deshonai BurtonTIME COMPLETED:
02:10 PM
ALLEGATION(S):
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- Adults were involved in a physical altercation while daycare children were in care
- Facility staff did not report altercation
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Sumayya Habeebulla and Ana Noble arrived at the facility to investigate the above allegations. LPAs met with Licensees Rosemarie Burton and discussed the above allegations.

There is an allegation that two adults were involved in a physical altercation at the facility while children were in care and the Facility did not report it.

Licensees admitted there was a verbal disagreement between two adults in the backyard, which according to licensees and facility records are off limits to children. During the verbal disagreement between the two adults no children were present. Licensees denied there being a physical altercation in front of the day care children. However, due to LPA being unable to interview subject children and based on all the information gathered from relevant parties, it cannot be determined that a Physical altercation took place.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021
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 2
Control Number 10-CC-20210929125926
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: BURTON FAMILY CHILD CARE
FACILITY NUMBER: 334844394
VISIT DATE: 11/08/2021
NARRATIVE
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The information obtained only indicates that a verbal disagreement occurred outside in the backyard, which is off limits and no children were present. And due to the fact that LPA is unable to determine the tone, the language used, and the severity of the incident, it cannot be determined whether the incident was required to be reported.
Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegations of Personal Rights and Reporting Requirements is UNSUBSTANTIATED

An exit interview was conducted, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2