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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300274
Report Date: 08/30/2022
Date Signed: 08/30/2022 11:12:00 AM

Substantiated


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
07/21/2022 and conducted by Evaluator Sumayya Habeebulla
COMPLAINT CONTROL NUMBER: 10-CC-20220721113722
FACILITY NAME:JONES-BENNETT FAMILY CHILD CAREFACILITY NUMBER:
336300274
ADMINISTRATOR:JONES-BENNETT,SUSANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 351-2766
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY:14CENSUS: 6DATE:
08/30/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Susana Jones-BennettTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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- Day care child sustained injuries while in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA’s) Sumayya Habeebulla arrived at the facility for the purpose of conducting a subsequent complaint investigation visit to deliver the findings on the above referenced allegation. LPA met with Licensee Susana Jones-Bennett and discussed the above allegation. LPA interviewed 1 staff during this visit.

There is an allegation that a day care child sustained injury in care.

Based on interviews and documentation gathered, LPA noted that there have been incidents when children at the facility have sustained bites and scratches from other children in care. Interviews have revealed that on 06/21/22 a child sustained a bite from another child at the facility and the Licensee believes she verbally reported the incident to the parent during pick up time.

SEE LIC 9099C FOR CONTINUTION
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
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 5
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
07/21/2022 and conducted by Evaluator Sumayya Habeebulla
COMPLAINT CONTROL NUMBER: 10-CC-20220721113722

FACILITY NAME:JONES-BENNETT FAMILY CHILD CAREFACILITY NUMBER:
336300274
ADMINISTRATOR:JONES-BENNETT,SUSANAFACILITY TYPE:
810
ADDRESS:1509 STRAWBERRY DRIVETELEPHONE:
(310) 351-2766
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY:14CENSUS: 6DATE:
08/30/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Susana Jones-BennettTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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9
- Licensee did not prevent inappropriate interactions between day care children
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA’s) Sumayya Habeebulla arrived at the facility for the purpose of conducting a subsequent complaint investigation visit to deliver the findings on the above referenced allegation. LPA met with Licensee Susana Jones-Bennett and discussed the above allegation. LPA interviewed 1 staff during this visit.

There is an allegation that Licensee did not prevent inappropriate interactions between day care children.
Based on interviews conducted with staff and students, there is a child who has behavioral issues at the facility. When this child gets upset or provoked, he throws toys, screams, and at times will hit them and push them.

SEE LIC 9099C FOR CONTINUTION
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20220721113722
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: JONES-BENNETT FAMILY CHILD CARE
FACILITY NUMBER: 336300274
VISIT DATE: 08/30/2022
NARRATIVE
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 The Licensee stated that she was aware of the child’s behavior and trained her staff to properly handle these issues to prevent them from occurring. LPA confirmed that there was adequate supervision provided and staff at the facility indicated that they had visual observation of the child during the occurrence of the incident but was unable to prevent the incident from happening.

From the information received by interviews with staff and students the above allegation of Lack of Supervision has been Unsubstantiated at this time.


An exit interview was conducted, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 10-CC-20220721113722
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: JONES-BENNETT FAMILY CHILD CARE
FACILITY NUMBER: 336300274
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/16/2022
Section Cited
CCR
102423(a)(2)
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(a) Each child receiving services from a family childcare home shall have certain rights that shall not be waived or abridged by the licensee...These rights include, but are not limited to…:(2) To receive safe, healthful, and comfortable accommodations, furnishings...

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Licensee agrees to train staff on personal Rights of children and submit a plan of correction documenting the training once completed by the POC due date.
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 This requirement was not met as evidenced by: Based on the interviews, the child sustained a bite and injury to the forehead while at the facility. It has been determined that the Facility violated the child’s personal rights, which poses a potential health and safety risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 10-CC-20220721113722
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: JONES-BENNETT FAMILY CHILD CARE
FACILITY NUMBER: 336300274
VISIT DATE: 08/30/2022
NARRATIVE
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 On 07/01/22, the same child sustained an injury to the forehead while in care. The child supposedly had taken a toy from another child and got hit on the head. LPA noted that this was the second incident involving the same child and the parent had communicated their concern, but the incident did occur.

From the information received by interviews with staff and students the above allegation of Personal Rights has been Substantiated at this time.

An exit interview was conducted, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5