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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 483010256
Report Date: 07/14/2026
Date Signed: 07/14/2026 01:00:31 PM

Substantiated


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 FCCHFACILITY NUMBER:
483010256
ADMINISTRATOR:JEANETHA SCOTTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 520-5335
CITY:FAIRFIELDSTATE:CAZIP CODE:
94533
CAPACITY:14CENSUS: 6DATE:
07/14/2026
UNANNOUNCEDTIME BEGAN:
09:32 AM
MET WITH:Jeanetha ScottTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Medication accessible to children in care
INVESTIGATION FINDINGS:
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An unannounced complaint investigation visit was made to the facility by Licensing Program Analyst (LPA) Jessica Gaumann to investigate the allegation filed against the facility listed above. LPA met with Licensee (L1), Jeanetha Scott today to discuss the allegations. Interviews were conducted with L1, staff (S1, S2) and children (C1-C3) and documents pertaining to the investigation were obtained from the facility.

L1 admitted that on 06/09/26, medication was made accessible to 2 children (C4, C5) in care. L1 stated this is the only time this has happened. Interview with staff (S1) corroborated this statement.

LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jessica Gaumann
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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: 07/14/2026
NARRATIVE
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Based on the information gathered during this investigation, the preponderance of the evidence standard has been met. Therefore, the allegation is determined to be substantiated. California Code of Regulations, Title 22, is being cited on the attached LIC 9099-D. Appeal rights were provided. An exit interview was conducted, and this report was read and discussed with the Licensee, Jeanetha Scott. 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.

LPA Jessica Gaumann informed Licensee, Jeanetha Scott, that this report dated 07/14/2026 document(s) 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Jessica Gaumann informed the Licensee, Jeanetha Scott, to provide a copy of this licensing report dated 07/14/2026 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jessica Gaumann
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/14/2026
Section Cited
CCR
102417(g)(4)
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102417(g)(4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement was not met as evidenced by:
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Licensee (L1) stated she stores her personal medication in her bedroom which is made inaccessbile to children in care by a door lock and that she will not take her personal medication outside of her bedroom.
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Based on interviews, the licensee failed to have made medication inaccessible to children in care which poses/posed an immediate health, safety or personal rights risk to persons 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.
SUPERVISOR'S NAME: Melinda Mohr
LICENSING EVALUATOR NAME: Jessica Gaumann
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4