331880774-5-16-2023-18-AS-JESL-CS7RJ3-20230526130316

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880774
Report Date: 05/16/2023
Date Signed: 05/16/2023 12:54:28 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/15/2023 and conducted by Evaluator Janira Arreola

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20230515110645

FACILITY NAME:	RAINCROSS AT RIVERSIDE		FACILITY NUMBER:	331880774
ADMINISTRATOR:	JUDITH PIERFAX		FACILITY TYPE:	740
ADDRESS:	5232 CENTRAL AVENUE		TELEPHONE:	(951) 785-1200
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92504
CAPACITY:	120	CENSUS: 80	DATE:	05/16/2023
		UNANNOUNCED	TIME BEGAN:	11:26 AM
MET WITH:	Executive Director, Judith Pierfax		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Questionable death

INVESTIGATION FINDINGS:

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Licensing Program Anaylst (LPA) Janira Arreola conducted an unannounced visit to the facility in order to initate an investigation into the above allegation. LPA met with the executive director, Judith Pierfax who was informed of the purpose of the visit.

It was alleged that there had been a questionable death at the facility. LPA interviewed Pierfax who stated they did not have a staff or resident matching the deatiled in the allegations of the complaint. LPA requested the staff and resident rosters. LPA reviewed these along with Guardian roster and found no resident or staff matched the description or name of those given in the complaint allegation. Pierfax further stated no recent deaths had occured at the facility in the past week, and last law enforcement visit was last month for (18-AS-20230404114524). Further LPA confirmed that the address listed on the SOC341 was not the address matching this licensed facility. Therefore, the allegation is unfounded meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted where this report was reviewed and provided to, Executive Director, Judith Pierfax.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Janira Arreola	TELEPHONE: 951-248-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

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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