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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300357
Report Date: 08/11/2021
Date Signed: 08/11/2021 02:55:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:BESSENT FAMILY CHILD CAREFACILITY NUMBER:
336300357
ADMINISTRATOR:PORTIA BESSENTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 663-9544
CITY:SAN JACINTOSTATE: CAZIP CODE:
92583
CAPACITY:14CENSUS: 6DATE:
08/11/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Portia BessentTIME COMPLETED:
03:00 PM
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Licensing Program Analyst Alaina Wilburn conducted an unannounced case management visit. LPA met with Licensee Portia Bessent. The purpose of today's visit is to amend the continuation page (LIC 9099C) for complaint #10-CC-20210505100705, and receive a signature on the amended report from Licensee. The initial report was delivered on 05/12/2021.

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

Exit interview conducted.
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Alaina WilburnTELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
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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