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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334841442
Report Date: 10/12/2021
Date Signed: 10/12/2021 01:44:59 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
02/10/2021 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210210161942
FACILITY NAME:BURHAN FAMILY CHILD CAREFACILITY NUMBER:
334841442
ADMINISTRATOR:BURHAN, SHAMILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 927-1475
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:12CENSUS: 4DATE:
10/12/2021
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Shamila BurhanTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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Provider's Spouse sexually assaulted day-care child while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced complaint visit. LPA Wilburn met with Licensee Shamila Burhan to deliver findings on the above stated allegation. The investigation was conducted by Investigator Charlotte Jackson with the Investigations Branch (IB).

During the investigation, interviews were conducted with complainant, Licensee, Licensee's husband, Child #1 (C1), C1’s mother as well as other day care children and parents. The victim reported being sexually assaulted while being cared for in the day-care. There was no physical evidence of sexual abuse found during the investigation and no witnesses or other victims. Licensee denied sexual abuse to children in the home, or that they were witnesses to any inappropriate behavior. The local Police Department investigated the allegation as well, and they closed their case determining no criminal activity could be established to pursue further investigation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021
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-20210210161942
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: BURHAN FAMILY CHILD CARE
FACILITY NUMBER: 334841442
VISIT DATE: 10/12/2021
NARRATIVE
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Based on confidential interviews and record review, the allegation that provider's spouse sexually assaulted day-care child while in care may have occurred, however is not supported or proven by evidence. Therefore, the allegation is UNSUBSTANTIATED at this time. Exit interview conducted.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Alaina Wilburn
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2