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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628362
Report Date: 04/27/2022
Date Signed: 04/27/2022 10:00:31 AM

Document Has Been Signed on 04/27/2022 10:00 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:BURTON, TRANISHA FAMILY CHILD CAREFACILITY NUMBER:
376628362
ADMINISTRATOR:TRANISHA BURTONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 632-2972
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
04/27/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:27 AM
MET WITH:Tranisha Burton TIME COMPLETED:
09:48 AM
NARRATIVE
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On 04/27/22 at 8:27 a.m., Licensing Program Analyst (LPA), Rajani Goudreau conducted an unannounced case management deficiency inspection and met with the Licensee, Tranisha Burton. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. There were six children in care with one staff were present in the facility during this inspection. Operation hours are Monday through Friday from 6:30 a.m. to 5:30 p.m.

During today’s visit LPA observed staff member #1 (see LIC811 confidential names list) caring for the children without a criminal record clearance, per review of association list. Licensee indicated staff member #1 has been assisting with the childcare for 11 months. According to licensee, staff member #1 did receive a criminal record clearance.LPA informed licensee of the importance of ensuring staff members obtain a fingerprint clearance, prior to initial presence in the daycare. Licensee acknowledges understanding. LPA provided licensee with the LIC9163-Request for Live Scan.


California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D. Exit interview conducted and report reviewed with the licensee [or facility representative] (include name). Licensee shall post licensing reports citing the type A deficiency for 30 days and provide copies to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months. In addition, LIC9224, must be signed by parents/guardians of children currently and newly enrolled in the facility and placed in each child’s record for the next 12 months. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report reviewed with the licensee, Tranisha Burton.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2022
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 04/27/2022 10:00 AM - It Cannot Be Edited


Created By: Rajani Goudreau On 04/27/2022 at 09:43 AM
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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: BURTON, TRANISHA FAMILY CHILD CARE
FACILITY NUMBER: 376628362

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/27/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/28/2022
Section Cited
CCR
102370(d)(1)

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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working...in a licensed facility: (1) Obtain a California clearance...as required by the Department. This requirement was not met as evidenced by:
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Licensee indicated she will obtain a finger print clearance for staff member #1 today, 04/27/22. Licensee indicated she will provide the LIC9163-Request for Live Scan reflecting completion of live scan to the Department by 04/28/22.

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Based on observation, the Licensee did not ensure staff member #1 obtained a a criminal record clearance prior to working in the home, which poses an immediate risk to the safety of 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:Tulam Vu
LICENSING EVALUATOR NAME:Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2022


LIC809 (FAS) - (06/04)
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