<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366428030
Report Date: 12/06/2022
Date Signed: 02/07/2023 12:50:05 PM

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 ST., SUITE 600
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/23/2022 and conducted by Evaluator Nicole Strickland
PUBLIC
COMPLAINT CONTROL NUMBER: 19-CR-20220323134017
FACILITY NAME:A NEW BEGINNING FOSTER FAMILY AGENCYFACILITY NUMBER:
366428030
ADMINISTRATOR:MOHAMMED, SUZETTEFACILITY TYPE:
430
ADDRESS:15729 MAIN STREETTELEPHONE:
(760) 244-8337
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:83CENSUS: 52DATE:
12/06/2022
UNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Dr. Suzette MohammedTIME COMPLETED:
01:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Foster child sustained unexplained injuries while in care.
Foster parent neglected foster child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
***This is an amended report initially delivered on 12/6/2022.***
On December 6, 2022 at 12:35pm Licensing Program Analyst (LPA), Nicole Strickland, met with A New Beginning Foster Family Agency (FFA) Administrator, Dr. Suzette Mohammed to deliver the findinsg for the above stated allegations. The investigation was conducted by Special Investigator (SI) Marlon Williams and LPA Strickland and included interviews with San Bernardino County Sheriff’s Department Detective, FFA Supervisory Agency Social Worker (SSW), FFA Administrator (ADM), FFA Agency Social Worker (ASW) and Resource Mother (RM). In addition, county records, facility records, and medical records were reviewed.

On March 23, 2022, Community Care Licensing (CCL) received an allegation alleging Foster child (child #1 [C1]) sustained unexplained injuries while in care. Specifically, it was reported C1 was observed to have a linear bruise on C1’s forearm, and a scar on C1’s back. Record review of C1’s body check form dated 1/11/22 noted a swollen right ear, Bruises on C1’s back, scars on C1’s lower back, bruise on the back of C1’s Right
***CONTINUED ON NEXT PAGE***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natasha Dunlap
LICENSING EVALUATOR NAME: Nicole Strickland
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
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 3
Control Number 19-CR-20220323134017
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 ST., SUITE 600
RIVERSIDE, CA 92501
FACILITY NAME: A NEW BEGINNING FOSTER FAMILY AGENCY
FACILITY NUMBER: 366428030
VISIT DATE: 12/06/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
arm, a swollen right ear, and a scratch to C1’s forehead. Record review revealed C1 was examined on 1/14/2022 by Forensic Pediatrician Dr. Siccama from Loma Linda University Children’s Hospital and noted C1 had scars on C1’s buttocks and feet, a linear bruise on C1’s right forearm and a bruise on C1’s right foot.

A second allegation alleging Foster parent (Resource Mother [RM]) neglected foster child (Child #1 [C1]) was received by CCL on March 23, 2022. Specifically, it was reported that C1 was extremely malnourished and weighed 14 pounds for over a year while residing at the Resource Family Home (RFH). Based on record review C1 weighed 14.5 lbs upon placement in the RFH in August of 2020 and in January of 2022 weighed 16 lbs. Confidential interviews reported RM admitted to failing to take C1 to some of C1’s medical appointments. Record review revealed on 1/14/2022 Forensic Pediatrician Dr. Siccama examined C1 and noted C1 was severely underweight. Record review revealed C1 was hospitalized for possible nutritional and medical neglect.

Based on confidential interviews and record review the allegations Foster child (child #1 [C1]) sustained unexplained injuries while in care and Foster parent (Resource Mother [RM]) neglected foster child (Child #1 [C1]) are substantiated. The preponderance of evidence standard has been met. Facility is cited for violation of Interim Licensing Standards (ILS) standard 88487.8(b)(2) PERSONAL RIGHTS: (b)(2) to be free from corporal or unusual punishment; infliction of pain; humiliation; intimidation; ridicule; coercion; threat; physical, sexual, emotional, mental, or other abuse; or other actions of a punitive nature including interference with the daily living functions of eating , sleeping, or toileting, or withholding of shelter, clothing, medication, or aids to physical functioning, and ILS standard 88487.13(a) RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION: (a) A resource Family shall provide care and supervision that meets the needs of a child or nonminor dependent and ensures health, safety, and well-being.

The facilities violation of 88787.8(b)(2) which resulted in injury to Child #1 (C1) requires the facility to be assessed an immediate civil penalty per Health and Safety Code 1548(c)(1).

An Enhanced Civil Penalty (ECP) determination is pending. If an ECP is assessed a Community Care Licensing (CCL) representative will return to the facility to deliver the penalty assessment.

A copy of the report was discussed and provided along with Civil Penalty assessment and appeal rights to A New Beginning Foster Family Agency (FFA) Administrator, Dr. Suzette Mohammed.
SUPERVISORS NAME: Natasha Dunlap
LICENSING EVALUATOR NAME: Nicole Strickland
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 19-CR-20220323134017
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 ST., SUITE 600
RIVERSIDE, CA 92501

FACILITY NAME: A NEW BEGINNING FOSTER FAMILY AGENCY
FACILITY NUMBER: 366428030
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/06/2022
Section Cited
ILS
88487.8(b)(2)
1
2
3
4
5
6
7
This is an amended reoprt
PERSONAL RIGHTS: (b)(2) to be free from corporal or unusual punishment; infliction of pain… or other abuse; or other actions of a punitive nature including interference with the daily living functions of eating, sleeping, or toileting, or withholding of shelter, clothing, medication, or aids to physical functioning. This requirement is not met as evidenced by:
1
2
3
4
5
6
7
The Resource Family Home's approval was rescinded. Administrator reported after this incident the facility implemented a new policy that all medical records are reviewed on a weekly basis. Administrator will provide LPA with a copy of new policy.
8
9
10
11
12
13
14
Based on record review and confidential interviews the facility did not ensure Child #1 (C1’s) Personal rights were protected when C1 sustained unexplained injuries (bruising to C1’s back, the back right arm, a swollen right ear, and a scratch to C1’s forehead) while in care, which posed an immediate Health, Safety or Personal Rights risk to children in care.
8
9
10
11
12
13
14
Type A
12/06/2022
Section Cited
ILS
88487.13(a)
1
2
3
4
5
6
7
RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION: (a) A resource Family shall provide care and supervision that meets the needs of a child or nonminor dependent and ensures health, safety, and well-being.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
The Resource Family Home's approval was rescinded. Administrator reported after this incident the facility implemented a new policy that all medical records are reviewed on a weekly basis. Administrator will provide LPA with a copy of new policy.
8
9
10
11
12
13
14
Based on record review and confidential interviews the facility did not ensure C1 was provided the care C1 needed to ensure C1’s health, safety and well-being as C1 was severally malnourished when C1 was hospitalized in January 2022, which posed an immediate Health, Safety or Personal Rights risk to children in care.
8
9
10
11
12
13
14
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: Natasha Dunlap
LICENSING EVALUATOR NAME: Nicole Strickland
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3