334843054-12-28-2023-10-CC-CMAZ-CZ6S9H-20240104124042

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334843054
Report Date: 12/28/2023
Date Signed: 12/28/2023 12:16:47 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/13/2023 and conducted by Evaluator Sumayya Habeebulla

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20231213122646

FACILITY NAME:	RENU HOPE FOUNDATION		FACILITY NUMBER:	334843054
ADMINISTRATOR:	TIFFANIE ROMAN		FACILITY TYPE:	850
ADDRESS:	21091 RIDER STREET		TELEPHONE:	(951) 940-7600
CITY:	PERRIS	STATE: CA	ZIP CODE:	92570
CAPACITY:	72	CENSUS: 22	DATE:	12/28/2023
		UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Marcella Arnold		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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1. Staff do not have 1st Aid/CPR from an approved vendor
2. Facility does not have a qualified Director.
3. Director is not on-site during hours of operation.
4. Incomplete Staff files
5. Facility is out of ratio.

INVESTIGATION FINDINGS:

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On December 28, 2023, at 11:55 AM, Licensing Program Analyst s (LPAs) Sumayya Habeebulla and Amber Shaw arrived unannounced at the facility and met with Director Marcella Arnold to deliver the investigative findings for the above stated allegations. During the investigation, confidential interviews were conducted with staff (S1-S4). LPA also obtained copies of pertinent records that included: CPR & First Aid card, Director qualifications were reviewed on 12/19/2023, Staff Files were reviewed on 12/19/2023, census taken on 12/19/2023 and 12/28/23.

On December 13, 2023, complaints were received by the department alleging Staff do not have 1st Aid/CPR from an approved vendor, Facility does not have a qualified Director, Director is not on-site during hours of operation, Incomplete Staff files, and Facility is out of ratio.

See LIC 9099C for continuation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 12/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2023

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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Control Number 10-CC-20231213122646

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: RENU HOPE FOUNDATION	FACILITY NUMBER: 334843054
	VISIT DATE: 12/28/2023

NARRATIVE

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The first allegation is that Staff do not have 1st Aid/CPR from an approved vendor. On December 19, 2023, LPA Habeebulla and Licensing Program Manager (LPM) Carlos Martinez conducted an unannounced annual visit and files for children, staff, and facility director were reviewed. The file reviews revealed that the facility conducts its CPR & First Aid training through a licensed and approved vendor. LPA completed a verification of the 1st Aid/CPR certification and confirmed that the certificates were current and valid by the American Heart Association.

The second allegation is Facility does not have a qualified Director. During the annual visit conducted on December 19th, 2023, the Director’s file and qualifications were reviewed. LPA confirmed that the director has met all the requirements as stated in the childcare regulations, and also holds a director’s permit which is valid until 2028.

The third allegation is the Director is not on-site during hours of operation. Confidential interviews conducted on December 19th, 2023, revealed that the director is present during the facility’s operational hours. Interviews failed to reveal if at any point of operational hours, the facility director was not present at the facility.

The fourth allegation is Incomplete Staff files. During the unannounced annual visit conducted on December 19th, 2023, the staff files were reviewed, and it was observed all the documents required by the childcare regulation were present on file.

The fifth allegation is Facility is out of ratio. As per the census conducted on December 19th, 2023, there were 15 children and 3 staff present in Room 117, and 8 children and 3 staff present in Room 116. Census conducted on December 28th, 2023, at 12 PM (nap time) there were 7 children and 2 staff present in Room 116 and 15 children and 3 staff present in Room 117. As per the census taken on the respective dates, the facility is operating as per the requirement stated in the childcare regulation of 12 children to 1 qualified staff.

From the information received through interviews with staff, and facility documents the above allegations cannot be verified. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations did or did not occur, therefore, the allegations are UNSUBSTANTIATED.
An exit interview was conducted, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 12/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2023

LIC9099 (FAS) - (06/04)

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