336300357-10-12-2021-10-CC-SHUK-C82QZQ-20211022123706

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336300357
Report Date: 10/12/2021
Date Signed: 10/12/2021 02:21:09 PM

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
09/10/2021 and conducted by Evaluator Alaina Wilburn

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20210910133831

FACILITY NAME:	BESSENT FAMILY CHILD CARE		FACILITY NUMBER:	336300357
ADMINISTRATOR:	PORTIA BESSENT		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 663-9544
CITY:	SAN JACINTO	STATE: CA	ZIP CODE:	92583
CAPACITY:	14	CENSUS: 4	DATE:	10/12/2021
		UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Portia Bessent		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Child sustained unexplained injury while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced complaint visit. LPA met with Licensee Portia Bessent, to deliver findings on the above stated allegation.

Investigation consisted of: review of pictures and interview with Licensee, Assistant and a witness.

Investigation revealed the following: LPA was informed and observed through pictures and videos that C1 had a tendency to continuously keep two fingers in mouth for possible comfort. Licensee and Assistant deny observing Child #1(C1) injure themselves, fall or physically/verbally express any signs of discomfort while in care. On September 10, 2021, LPA received a picture of C1 showing a very small slit on lip was observed to C1 lip area. However, LPA was unable to determine where and when the cut occurred.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
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)

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Control Number 10-CC-20210910133831

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: BESSENT FAMILY CHILD CARE	FACILITY NUMBER: 336300357
	VISIT DATE: 10/12/2021

NARRATIVE

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Based on interviews with staff and observation conducted, the allegations that child sustained unexplained injury while in care, may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated at this time.

Exit interview conducted and a copy of the report along with the appeal rights were provided to Licensee Portia Bessent.

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

SUPERVISOR'S NAME: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
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)

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