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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371652
Report Date: 12/02/2025
Date Signed: 12/02/2025 03:02:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/14/2025 and conducted by Evaluator Giselle Lucero
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20251014100423
FACILITY NAME:TRF ST. PETERFACILITY NUMBER:
304371652
ADMINISTRATOR:BROPHY, CLARISSAFACILITY TYPE:
850
ADDRESS:1510 NORTH PARTONTELEPHONE:
(714) 804-5595
CITY:SANTA ANASTATE: CAZIP CODE:
92706
CAPACITY:29CENSUS: 21DATE:
12/02/2025
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Director Briseda MolinaTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not ensure day care children had adequate access to drinking water.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Giselle Lucero conducted an unannounced complaint inspection to deliver the findings for the above-referenced allegation. Upon arrival, LPA met with Director Briseida Molina and observed 21 preschool children in care with 5 staff present.

A review of facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on October 14, 2025, alleging that staff do not ensure day care children have adequate access to drinking water. The Reporting Party (RP) alleged that children are told they cannot have water during mealtimes.

(continue to page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
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 06-CC-20251014100423
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TRF ST. PETER
FACILITY NUMBER: 304371652
VISIT DATE: 12/02/2025
NARRATIVE
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(Page 2)

As part of the investigation, LPA Lucero interviewed nine (9) staff members and conducted a physical plant inspection.

During interviews, eight (8) out of nine (9) staff reported that, because the facility participates in a meal program, management has directed staff to encourage children to drink milk by keeping water pitchers out of sight. Staff reported that when children request water because they do not want milk, staff are instructed by management to deny the request and tell children they may have water after lunch. Several staff stated they discreetly provide water despite their concerns about potential retaliation from management. Staff also reported that during a recent meeting with other TRF centers, management reiterated that because milk is purchased for the program, it must be offered and encouraged. Staff stated that management reiterated that if water pitchers are placed on the table, children may choose water over milk, which is why staff were instructed to hide the water pitchers. Staff expressed frustration and concern regarding this directive.

LPA also interviewed management. Management reported that children have access to water at all times and are never denied water. They stated that staff are instructed to encourage children to drink milk during lunch, but children should be permitted to drink water upon request. Management reported that water pitchers are kept in each classroom as well as a large water jug in the outdoor play area.

During the initial inspection on October 21, 2025, LPA Lucero conducted a thorough assessment of the classrooms and outdoor play yard. LPA observed one insulated water jug in the outdoor play area filled with water; however, there were no water pitchers visible inside the classrooms during the walk through. Shortly after staff interviews were completed, LPA observed small water pitchers placed inside the classrooms. Staff reported that these pitchers were filled due to LPA's presence.

Based on staff interviews and LPA’s observation, it has been determined staff does not ensure day care children have adequate access to drinking water. Therefore, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22, 101239.2(a)(1) Drinking Water is being cited on the attached LIC 9099D.

Exit interview conducted and report was reviewed with the Director Briseda Moilna. A notice of site visit was given and must remain posted for 30 days. Appeal Rights were explained. The Director was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights.

End of Report.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20251014100423
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: TRF ST. PETER
FACILITY NUMBER: 304371652
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/16/2025
Section Cited
CCR
101239.2(a)(1)
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101239.2 Drinking Water (a) Drinking water.. shall be readily available both indoors and in the outdoor activity area. (1) Children shall be free to drink as they wish.

This requirement was not met as evidence by:
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Director stated children are able to be given water at any times. Director stated there may be a minunderstanding with staff. This topic will be brought up in the December staff meeting and a copy of the agenda with staff sign in will be provided to LPA.
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Based on staff interviews, the licensee did not comply with the section cited above. It has been determined staff does not ensure children have adequate access to drinking water. This poses/posed a potential 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.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3