334846109-1-28-2026-09-CC-GSEA-DQTNTL-20260130094452

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334846109
Report Date: 01/28/2026
Date Signed: 01/28/2026 11:24:09 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
04/29/2025 and conducted by Evaluator Giselle Carbullido

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20250429095310

FACILITY NAME:	TRF ALL SAINTS		FACILITY NUMBER:	334846109
ADMINISTRATOR:	MEJICO, DANETTE		FACILITY TYPE:	830
ADDRESS:	3847 TERRACINA DRIVE		TELEPHONE:	(310) 420-1025
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92506
CAPACITY:	32	CENSUS: 12	DATE:	01/28/2026
		UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Martha Lopez, Interim Director		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Daycare child sustained a fracture while in care.

INVESTIGATION FINDINGS:

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On 01/28/26 at 9:55AM, Licensing Program Analyst (LPA) Giselle Carbullido visited the facility to deliver investigation findings based on the Investigation Report of Community Care Licensing Investigations Branch, Investigator, Shawniece Poinsette. LPA was granted entry into the facility and met with Facility Representative, Martha Lopez - (Interim Director). LPA toured facility and took census.
It was alleged that a daycare child sustained a fracture while in care and later received further medical assessment.
During the investigation, Investigator, Shawniece Poinsette conducted interviews with relevant parties including facility staff, parents and medical/police authorities involved. Investigator Poinsette obtained and reviewed records from the Facility, Riverside Police Department, San Bernardino County Community Hospital, and Loma Linda Children’s Hospital.
The following is a summary of the findings of the investigation: Medical records review revealed a child sustained an injury to their arm requiring follow up care. Interviews denied injury occurring at the daycare or at home.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

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 09-CC-20250429095310

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: TRF ALL SAINTS	FACILITY NUMBER: 334846109
	VISIT DATE: 01/28/2026

NARRATIVE

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Additionally, information from interviews conducted by Investigator Poinsette and Riverside Police Department reported conflicting or unverifiable information on time, date and place where alleged injury occurred. After a full investigation, Investigator Poinsette concluded 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 allegations are UNSUBSTANTIATED.
Appeal rights issued and discussed with facility representative and their signature on this form acknowledges receipt of these rights. An exit interview was conducted and a copy of this report and notice of site visit were provided to the facility representative, Martha Lopez. A copy of this report must be made available to the public upon request for three years.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

LIC9099 (FAS) - (06/04)

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