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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846109
Report Date: 11/18/2021
Date Signed: 11/18/2021 11:53:19 AM

Document Has Been Signed on 11/18/2021 11:53 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:TRF ALL SAINTSFACILITY NUMBER:
334846109
ADMINISTRATOR:MOSLEY, DR. KEENA RUSHFACILITY TYPE:
830
ADDRESS:3847 TERRACINA DRIVETELEPHONE:
(310) 420-1025
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY: 32TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
11/18/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Dr. Keena Mosley and Renee JacobsTIME COMPLETED:
10:55 AM
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A tele-conference was held this date on 11/18/2021 to complete the Child Care Center Orientation, Component II with facility representatives. Present in this conference were Licensing Program Analyst Kim Leung, Licensing Program Analyst Giselle Carbullido, licensee representative and facility director Dr. Keena Mosley and the CEO of Training and Search Foundation, Renee Jacobs.

During the conference, the following regulatory requirements and guidance were reviewed:
- Title 22 Section 101415.1 Assistant Infant Care Center Director Qualifications and Duties
- LIC9227 Individual Infant Sleeping Plan
- Observations during nap time and record keeping
- Safety guidance during COVID-19 pandemic

The facility has not started operating at this time and CEO Renee Jacobs agreed to notify Community Care Licensing when the facility opens for child care.

Exit interview was conducted. A copy of this report was provided to facility representatives Dr. Keena Mosley and Renee Jacobs via email this date on 11/18/2021. Facility representatives agreed to acknowledge receipt of the email. An electronic “read receipt” was also attached. The electronic read receipt of the emailed report acknowledges receipt of this report.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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