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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334843055
Report Date: 05/07/2024
Date Signed: 05/07/2024 12:31:13 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/01/2024 and conducted by Evaluator Jeanette Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240201125913
FACILITY NAME:RENU HOPE FOUNDATIONFACILITY NUMBER:
334843055
ADMINISTRATOR:TIFFANIE ROMANFACILITY TYPE:
830
ADDRESS:21091 RIDER STREETTELEPHONE:
(951) 940-7600
CITY:PERRISSTATE: CAZIP CODE:
92570
CAPACITY:24CENSUS: 13DATE:
05/07/2024
UNANNOUNCEDTIME BEGAN:
12:08 PM
MET WITH:Site Supervisor, Marcella ArnoldTIME COMPLETED:
12:39 PM
ALLEGATION(S):
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Day care child sustained unexplained fracture while in care
INVESTIGATION FINDINGS:
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On 5/7/2024 at 12:08PM, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to deliver final investigative findings for the allegation as listed above. LPA met with Site Supervisor, Marcella Arnold.

On 2/1/2024 a complaint allegation was reported to Community Care Licensing (CCL) stating that a daycare child sustained an unexplained fracture while in care. Specifically, it was reported that the child had a right distal fracture (wrist fracture). The investigation was conducted by Shawniece Poinsette, Investigator with the CCL Investigation Bureau.

During morning drop off on 12/27/2023, facility staff noticed a bruise on the right wrist of the child and noted the finding on a health check record log. That same day, child was seen at the Emergency Department of Riverside University Hospital.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
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 2
Control Number 10-CC-20240201125913
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: RENU HOPE FOUNDATION
FACILITY NUMBER: 334843055
VISIT DATE: 05/07/2024
NARRATIVE
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IB Investigator Poinsette conducted interviews and record review. All staff denied any injuries or incidents occurred at the facility. Furthermore, there was a statement indicating that the child may have sustained an injury outside of the facility. Medical records did not provide sufficient information to determine where the child was injured.

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 this report was reviewed with Site Supervisor, Marcella Arnold. 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.
SUPERVISOR'S NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2