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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364844458
Report Date: 06/04/2024
Date Signed: 06/04/2024 10:30:06 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/10/2024 and conducted by Evaluator Tiffanie Diep
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240510101142
FACILITY NAME:BENITEZ FAMILY CHILD CAREFACILITY NUMBER:
364844458
ADMINISTRATOR:BENITEZ, KAREMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 440-5835
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:14CENSUS: 6DATE:
06/04/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Karem BenitezTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Lack of Supervision - Licensee did not properly supervise day care child
INVESTIGATION FINDINGS:
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On 06/04/2024 at 9:15 AM, Licensing Program Analyst (LPA) Tiffanie Diep met with Licensee Karem Benitez for the purpose of an unannounced complaint visit to deliver the finding of a complaint investigation initiated by LPA Laura Mejorado on 05/15/2024. LPA Tiffanie Diep observed six children present in the home with Licensee, their spouse/assistant (S1), and their two minor children/assistants (S2 and S3).

It was alleged that Licensee did not properly supervise a day care child. Throughout the course of the investigation, LPA Laura Mejorado made observations at the home, obtained relevant documents, and conducted interviews with pertinent individuals.

Continues on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024
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 4
Control Number 09-CC-20240510101142
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BENITEZ FAMILY CHILD CARE
FACILITY NUMBER: 364844458
VISIT DATE: 06/04/2024
NARRATIVE
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Continued from LIC 9099 (Page 2)

It was alleged that a child was made to wait alone outside of their public school until the school gates opened. Staff interviews disclosed the child was dropped off by the gate, which was open. Staff denied leaving the child to wait alone until the gate opened; however, there was conflicting information from other interviews.

Based on conflicting information obtained during interviews and records reviewed, it is determined that the allegation could not be substantiated or dismissed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted and report was reviewed with the licensee, Karem Benitez. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4