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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364840540
Report Date: 06/10/2021
Date Signed: 06/10/2021 04:30:13 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MC DONALD LEARNING CENTERFACILITY NUMBER:
364840540
ADMINISTRATOR:LISA MC DONALD (BURTNER)FACILITY TYPE:
840
ADDRESS:1017 HOLDEN AVENUETELEPHONE:
(909) 585-6848
CITY:BIG BEAR CITYSTATE: CAZIP CODE:
92314
CAPACITY:28CENSUS: 7DATE:
06/10/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Lisa BurtnerTIME COMPLETED:
04:55 PM
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On 06/10/2021 at 4:30 PM, Licensing Program Analyst (LPA) Aaron Mabika conducted a Case Management-UIR. The purpose of the inspection was to interview staff who were witnesses to the AWOL incident

The children who AWOLED on the 7 th did not attend today and were not available to be interviewed.

LPA proceeded to the Sheriff's department at Big Bear Lake and was unable to get the report but got contacts to check the following week if it would be ready.

Exit interview conducted with Licensee, Lisa Burtner and a copy of this report, notice of site inspection left with licensee.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2021
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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