393608028-3-18-2021-53-CC-BENN-BZ8VXP-20210318164951

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 393608028
Report Date: 03/17/2021
Date Signed: 03/18/2021 02:52:04 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/02/2020 and conducted by Evaluator Marissa Soto

PUBLIC

COMPLAINT CONTROL NUMBER: 53-CC-20201002143542

FACILITY NAME:	BENAVIDES, IRMA		FACILITY NUMBER:	393608028
ADMINISTRATOR:	BENAVIDES, IRMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 367-5573
CITY:	LODI	STATE: CA	ZIP CODE:	95240
CAPACITY:	14	CENSUS: 4	DATE:	03/17/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Irma Benavides		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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A child's personal rights were violated

INVESTIGATION FINDINGS:

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Irma Benavides is Spanish speaking and Licensing Program Analyst (LPA) Marissa Soto spoke with Irma Benavides in Spanish and have translated the conversation to English below.
Due to the COVID-19 pandemic Licensing Program Analyst (LPA) Marissa Soto conducted a Tele-Visit via WhatsApp with Licensee, Irma Benavides on 03/17/2021 at 02:30pm in lieu of conducting an on-site inspection regarding the above complaint allegation. Facility is still open during the COVID-19 pandemic, and todays census consisted of 4 children supervised by Licensee Irma and her assistant. Licensee took LPA on virtual tour to each room that children have access to. The purpose of the tele-visit was to inform the Licensee of the findings for the above complaint allegations.
It was alleged a child’s personal rights were violated. The complainant alleged that facility staff hit and pinched a child. During the investigation, observations were made, LPA gathered 2013 records from Local Family Resource and Referral, Licensee was interviewed, seven adults, and four children were interviewed. Four out of the six adults did not provide any corroboration or evidence to support the allegation. LPA Soto interviewed four children and three of the four children did not provide any corroboration or evidence that could support the allegations. When the allegation was discussed with Licensee, Licensee denied the allegations and stated that she and her staff use redirection or Licensee will have children sit next to her for only a few minutes as a form of discipline. Licensee did ensure LPA that no adult at the facility would violate a child’s personal rights.
----Report Continues on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Marissa Soto	TELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2021

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 53-CC-20201002143542

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: BENAVIDES, IRMA	FACILITY NUMBER: 393608028
	VISIT DATE: 03/17/2021

NARRATIVE

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Based on the information gathered throughout the course of the investigation there was not a preponderance of evidence to prove or dismiss the allegation. This complaint has been determined to be UNSUBSTANTIATED: meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Children’s rights were discussed with Licensee today.

Exit interview conducted and appeal rights were discussed. A copy of this report, Notice of Site Visit, and appeal rights were emailed to the Licensee. Hard copy of the report with signature will be on file.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Marissa Soto	TELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2021

LIC9099 (FAS) - (06/04)

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