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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197411654
Report Date: 10/24/2022
Date Signed: 10/24/2022 02:55:43 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/26/2022 and conducted by Evaluator Dalicia Adkins
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220726153631
FACILITY NAME:BENTON FAMILY CHILD CAREFACILITY NUMBER:
197411654
ADMINISTRATOR:BENTON, SUSANA BENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 737-1757
CITY:CULVER CITYSTATE: CAZIP CODE:
90230
CAPACITY:14CENSUS: 5DATE:
10/24/2022
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Licensee, Susana Benton TIME COMPLETED:
02:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rigths-Daycare child sustained a diaper rash while in care
Personal Rights-Facility did not meet child’s diapering needs
Personal Rights-Facility is unkept
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/24/2022 at 10:50am Licensing Program Analyst (LPA) Dalicia Adkins conducted a subsequent complaint visit. LPA met with child care assistant (S2), LPA explained the purpose of the visit and was granted entry into the home. Licensee was not in the home when LPA arrived, licensee Susana Benton arrived approximately 12:20pm. There were five children present during this visit.

The purpose of today’s 10/24/2022 visit is to deliver findings of the above-mentioned allegations. During this visit LPA Adkins interviewed child care assistant and licensee.

On 8/4/2022 LPA Adkins conducted an unannounced complaint visit, LPA interviewed licensee and collected children records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia AdkinsTELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022
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 30-CC-20220726153631
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BENTON FAMILY CHILD CARE
FACILITY NUMBER: 197411654
VISIT DATE: 10/24/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During interviews Parent 1-3 disclosed that their child wear diapers and their child did not have a diaper rash. Based on observations, interviews, and supportive records information was not revealed throughout the investigation to approve or disapprove a violation occurred. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the above allegations did or did not occur, therefore the allegations are unsubstantiated.

No citations given during today’s visit. This report reviewed with licensee and copy given. Notice of site visit given and must be posted for 30 days. Exit interview conducted.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia AdkinsTELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2