343620812-1-26-2026-03-CC-MLOR-DQSM5U-20260129081851

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343620812
Report Date: 01/26/2026
Date Signed: 01/26/2026 04:42:40 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/06/2025 and conducted by Evaluator Mandie Goodwin

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20251106133704

FACILITY NAME:	BURNS, BREANNA		FACILITY NUMBER:	343620812
ADMINISTRATOR:	BURNS, BREANNA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 293-2458
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	14	CENSUS: 7	DATE:	01/26/2026
		UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:	Breanna Burns		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Licensee does not ensure day-care children are secured in an appropriate restraint system during transport

INVESTIGATION FINDINGS:

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On January 26th, 2026 Licensing Program Analyst (LPA) Mandie Goodwin met with Licensee Breanna Burns to continue investigation and deliver findings for a complaint investigation. Upon arrival LPA observed 7 children, supervised by Licensee and assistant. During the course of the investigation LPA made observations, collected documentation, and conducted interviews. LPA learned through interviews that on at least one occasion children were not properly secured in appropriate restraint systems before a car was driven. Children have been observed to be transported without a car seat/booster. One interview remarked that the Licensee offered to transport their child despite not having adequate car seats or boosters. The preponderance of evidence standard has been met, therefore, the allegation is determined to be substantiated. Title 22 deficiencies are cited on 809-D

Continued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026

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 03-CC-20251106133704

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BURNS, BREANNA	FACILITY NUMBER: 343620812
	VISIT DATE: 01/26/2026

NARRATIVE

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LPA Mandie Goodwin informed licensee Breanna Burns that this report dated 1/26/26 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Mandie Goodwin informed the licensee to provide a copy of this licensing report dated 1/26/26 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Report was reviewed with Licensee Breanna Burns and exit interview was conducted. Notice of site visit was provided and must remain posted for 30 days. Appeal Rights were provided

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 03-CC-20251106133704

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BURNS, BREANNA	FACILITY NUMBER: 343620812
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/26/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/27/2026 Section Cited CCR 102417(k)	1 2 3 4 5 6 7	102417(k)- All vehicle occupants must be secured in an appropriate restraint system. Based on interviews conducted LPA learned that on at least one occasion children have been observed to be transported by licensee without proper	1 2 3 4 5 6 7	Licensee will create a plan for following transportation laws and send plan to LPA by end of day 1/27/2026
	8 9 10 11 12 13 14	restraints- including boosters or car seats. This is considered an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/06/2025 and conducted by Evaluator Mandie Goodwin

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20251106133704

FACILITY NAME:	BURNS, BREANNA		FACILITY NUMBER:	343620812
ADMINISTRATOR:	BURNS, BREANNA		FACILITY TYPE:	810
ADDRESS:	6944 BEECH AVE		TELEPHONE:	(916) 293-2458
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	14	CENSUS: 7	DATE:	01/26/2026
		UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:	Breanna Burns		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Licensee exceeds manufacturer's rated seating capacity of the vehicle while transporting children

INVESTIGATION FINDINGS:

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On January 26th , 2026 Licensing Program Analyst (LPA) Mandie Goodwin met with Licensee Breanna Burns to continue investigation and deliver findings for a complaint investigation. Upon arrival LPA observed 7 children supervised by Licensee and assistant. During the course of the investigation LPA made observations, collected documentation, and conducted interviews. Licensee stated in an interview that her vehicle has 3 rows of seats and fits 8 people, and she has an assistant with a car that fits 7 people.

Licensee stated that she has a schedule where she will pick up 5 or 6 older children from their school and drop them off, and then will pick up 5 younger children from their separate school. While interviews acknowledged that children are driven by Licensee, there was not a preponderance of evidence to support concerns of licensee exceeding the car capacity.
Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 deficiencies are cited. Exit interview was conducted with Licensee Breanna Burns and Notice of Site Visit was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026

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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