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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846109
Report Date: 06/08/2023
Date Signed: 06/08/2023 03:28:56 PM

Document Has Been Signed on 06/08/2023 03:28 PM - 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: 32CENSUS: 14DATE:
06/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Program Director Danette MejicoTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct an inspection in response to an application received for an addition of a Preschool Program (See 334846406). Due to the Preschool Program taking over Room 102A, which was initially licensed for use of Toddler component, measurements were taken again to assure that the Infant/Toddler program still had sufficient square footage for the existing capacity of 12 infants and 20 toddlers.

Measurements were taken and the following was determined:
Infant/Toddler Indoor Activity Areas
LPA has determined that there is sufficient indoor activity space to accommodate the current capacity of 32 infant/toddlers.
Room 106 - 12 Infants
Room 102B - 20 Toddlers

Infant/Toddler Bathroom Fixtures
6 toilets x 15 = 90 children
6 sinks x 15 = 90 children

Infant/Toddler Outdoor Activity Area:
LPA has determined that there is sufficient outdoor activity space to accommodate 27 children.
Infant Playground - 7 infants (updated waiver is required to reflect correct infant capacity)
Toddler Playground - 20 Toddlers (waiver required due to sharing with Preschool)

There is an existing waiver for older infants to nap in the activity space however, another will be required to allow Toddlers to do the same.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: TRF ALL SAINTS
FACILITY NUMBER: 334846109
VISIT DATE: 06/08/2023
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No cited deficiencies during today's inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Exit interview conducted and report was reviewed with the Program Director Danette Mejico.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC809 (FAS) - (06/04)
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