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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360908345
Report Date: 09/15/2025
Date Signed: 09/15/2025 01:55:04 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/01/2025 and conducted by Evaluator Raquel Hernandez
COMPLAINT CONTROL NUMBER: 56-AS-20250801105459
FACILITY NAME:BENSON HOUSEFACILITY NUMBER:
360908345
ADMINISTRATOR:SHAWN COLETTAFACILITY TYPE:
735
ADDRESS:1941 S. BENSONTELEPHONE:
(909) 983-7884
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:9CENSUS: 5DATE:
09/15/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Administrator Shawn ColettaTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff are not providing adequate food service to clients
Staff are not providing clients with snacks between meals
Staff yell at clients in care
Staff mock clients in care using inappropriate language
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Administrator Shawn Coletta and explained the purpose of the visit. The investigation consisted of staff, facility tour and client interviews.

For the allegation, Staff are not providing adequate food service to clients.

LPA conducted (2) client interviews. 2 out of the 2 clients stated staff do provide adequate food service to clients in care. LPA conducted (3) staff interviews. 3 out of the 3 staff stated clients are provided adequate food service to clients in care. LPA observed sufficient food supply for all clients in care.

For the allegation, Staff are not providing clients with snacks between meals

LPA conducted (2) client interviews. 2 out of the 2 stated staff do provide snacks in between meals. LPA conducted (3) staff interviews. 3 out of the 3 stated clients are provided with snacks in between meals.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025
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 56-AS-20250801105459
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: BENSON HOUSE
FACILITY NUMBER: 360908345
VISIT DATE: 09/15/2025
NARRATIVE
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For the allegation, Staff yell at clients in care

LPA conducted (2) client interviews. 2 out of the 2 clients stated facility staff do not yell at clients in care. Additionally, LPA conducted (3) staff interviews. 3 out of the 3 staff stated facility staff do not yell at clients in care.

For the allegation, Staff mock clients in care using inappropriate language

LPA conducted (2) client interviews. 2 out of the 2 clients stated facility staff do not mock clients using inappropriate language or at all. LPA conducted (3) staff interviews. 3 out of the 3 staff stated they do not mock clients using inappropriate language or at all.

Based on the evidence gathered during today’s investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

During today’s visit, no deficiencies pertaining to these allegations were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Shawn Coletta.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Raquel Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2025
LIC9099 (FAS) - (06/04)
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