483010256-9-10-2026-01-CC-MMOR-DXWM4H-20260914091644

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 483010256
Report Date: 09/10/2026
Date Signed: 09/10/2026 09:08:38 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/08/2026 and conducted by Evaluator Jessica Gaumann

PUBLIC

COMPLAINT CONTROL NUMBER: 01-CC-20260708130458

FACILITY NAME:	SCOTT, JEANETHA FCCH		FACILITY NUMBER:	483010256
ADMINISTRATOR:	JEANETHA SCOTT		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 520-5335
CITY:	FAIRFIELD	STATE: CA	ZIP CODE:	94533
CAPACITY:	14	CENSUS: 5	DATE:	09/10/2026
		UNANNOUNCED	TIME BEGAN:	08:31 AM
MET WITH:	Jeanetha Scott		TIME COMPLETED:	09:20 AM

ALLEGATION(S):

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Licensee does not provide care 80% of the time
Furnishings and equipment are in poor condition

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jessica Gaumann made an unannounced complaint investigation visit today and met with Licensee, Jeanetha Scott for the purpose of delivering findings for the above allegations, specifically that the Licensee was asleep during child care hours, there were several broken toys, an insufficient amount of toys available for children and a broken play structure in the back yard. LPA previously met with Licensee on 07/14/26 to open the complaint and initiate the investigation.

During the course of the investigation, LPA conducted interviews, made observations and obtained documents. From 07/13/26 through 07/14/26 interviews were conducted with Licensee, reporting party (RP), staff (S1, S2) and children (C1-C3).

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jessica Gaumann
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026

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 01-CC-20260708130458

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: SCOTT, JEANETHA FCCH	FACILITY NUMBER: 483010256
	VISIT DATE: 09/10/2026

NARRATIVE

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Licensee denied the allegations. Licensee stated her operating hours are 12:00am – 11:58pm, Monday through Friday. Licensee stated she is in and out of the facility from 7:30am – 11:30am and again from 4:30pm - 6:30pm dropping and picking up day care children from school and running errands. Licensee stated she is present for the remainder of the day and while she does go upstairs sometimes, she is always available to come downstairs and occasionally takes a nap once a month. S1 stated that Licensee is present at the facility and assists with child care tasks every day. S1 stated Licensee is absent for about one hour in the morning and one hour in the evening to drop off and pick up day care children from school. S2 stated Licensee has been present the entire time they have been at the facility.

On 07/14/26, LPA observed many age appropriate toys in the play room and a closet which contained more toys and activities for the children. In addition, on 07/14/2026, LPA observed a shaded play structure in the back yard which was in good condition and foam pads on the concrete area of the back yard with more toys. LPA observed all furnishings and equipment to be in good condition.

Based on the information gathered during this investigation, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred and therefore is determined to be unsubstantiated. There were no Title 22 deficiencies cited. This report was reviewed and discussed with Licensee, Jeanetha Scott. Appeal rights were provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jessica Gaumann
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2026

LIC9099 (FAS) - (06/04)

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