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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364846072
Report Date: 02/19/2026
Date Signed: 02/19/2026 03:53:39 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/21/2026 and conducted by Evaluator Chase Atherton
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20260121155557
FACILITY NAME:EVERBROOK ACADEMYFACILITY NUMBER:
364846072
ADMINISTRATOR:VAN DUZER, MARGARET GALEFACILITY TYPE:
850
ADDRESS:3040 CHINO AVETELEPHONE:
(909) 591-7574
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:168CENSUS: 88DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Margaret Van DuzerTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility did not report unusual injuries to licensing.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Chase Atherton arrived at the facility to deliver final findings for a complaint investigation for the above allegation. LPA met with the Director Margaret Van Duzer and informed them of the purpose of visit. LPA Chase Atherton toured the facility and took census at the start of this visit.
During the investigation, LPA gathered information that included: observations, interviews conducted with pertinent parties, and records reviewed.

It was alleged that the Facility did not report unusual injuries to licensing.

Information gathered alleged that the facility did not report unusual biting injuries to the Department.

SEE LIC90999C for a continuation of this report...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Chase Atherton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
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 5
Control Number 09-CC-20260121155557
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: EVERBROOK ACADEMY
FACILITY NUMBER: 364846072
VISIT DATE: 02/19/2026
NARRATIVE
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Information gathered stated that some children have bitten other children at the facility. Information gathered stated that of these bite incidents there were 3 occasions within the dates of 1/14/2026 - 1/20/2026 where a child bit another child and broke skin. Information gathered, including internal Department documents, stated there was no report of these bites from the facility to the Department. Information gathered stated that the children who bit during these incidents have only recently started biting. Information gathered stated that the facility has taken measures to change the environment to decrease the biting incidents, however a report was not made to the Department regarding the bites that broke skin.

Based on information gathered, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, CCR 101212(d) is being cited on the attached LIC9099D.

Appeal Rights issued and discussed with facility representative and their signature on this form acknowledges receipt of these rights.

Exit interview conducted and report was reviewed with the Director Margaret Van Duzer. A notice of site visit was given to Director Margaret Van Duzer and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. This report must be made available to the public for 3 years. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Chase Atherton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 09-CC-20260121155557
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: EVERBROOK ACADEMY
FACILITY NUMBER: 364846072
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/05/2026
Section Cited
CCR
101212(d)
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101212(d) Upon the occurrence… of any of the events specified in (d)(1)... a report shall be made to the Department... In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department
This requirement is not met as evidenced by:
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The facility agrees to submit a written Unusual Incident Report regarding the bites within the dates of 1/14/2026 – 1/20/2026, where children were bitten and skin was broken. Facility also agrees to submit a statement detailing their understanding of California Code...
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Based on record review and interview, the licensee did not comply with the section cited above in that, there were 3 instances where a child bit another child and broke skin. These unusual injuries were not reported to the Department, which poses/posed a potential health, safety, or personal rights risk to persons in care.
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 of Regulations section 101212(d). Both items will be submitted to the Department by the POC due date.
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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: Ana Noble
LICENSING EVALUATOR NAME: Chase Atherton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5