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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701164
Report Date: 06/25/2026
Date Signed: 06/25/2026 12:09:04 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
01/28/2026 and conducted by Evaluator William M Chancellor Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20260128125249
FACILITY NAME:TOGETHER WE GROW - INFANTFACILITY NUMBER:
376701164
ADMINISTRATOR:ANNA GARCIAFACILITY TYPE:
830
ADDRESS:2120 THIBODO ROADTELEPHONE:
(760) 757-6031
CITY:VISTASTATE: CAZIP CODE:
92081
CAPACITY:0CENSUS: 4DATE:
06/25/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Anna Garcia, DirectorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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1. Due to lack of supervision, an infant fell from changing table resulting in injury.
2. Staff did not ensure infant received medical care in a timely manner.
3. Staff did not report injury in a timely manner.
INVESTIGATION FINDINGS:
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On June 25, 2026, at 10:00 AM, Licensing Program Analyst (LPA) William Chancellor conducted an unannounced complaint investigation visit to deliver findings related to the above referenced allegations. Upon arrival, LPA met with RN Administrator Emma Gray and Director Anna Garcia to provide the determination. LPA also conducted a tour of the facility, took a census, and completed a health and safety inspection.

The initial 10 day investigation was completed on February 3, 2026, by Investigations Branch (IB) Investigator Chelsie Schaal. The complaint, received on January 28, 2026, alleged that an infant fell from a changing table due to lack of supervision, that staff did not ensure the infant received timely medical care, and that staff failed to report the injury in a timely manner. LPA Chancellor delivered the findings from Investigator Schaal’s investigation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 10-CC-20260128125249
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: TOGETHER WE GROW - INFANT
FACILITY NUMBER: 376701164
VISIT DATE: 06/25/2026
NARRATIVE
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Interviews revealed that at approximately 11:55 AM on January 26, 2026, Staff 1 (S1) stepped away from the changing table while changing Child 1 (C1), leaving C1 unattended, during which time C1 rolled off the table and fell to the floor. Additional interviews confirmed hearing a loud noise, hearing C1 cry, and observing S1 pick C1 up from the floor. Further interviews established that staff did not notify management of the incident until 2:55 PM, approximately three hours later, and allowed C1 to nap immediately after the fall without initiating required injury response procedures. Parents were notified around 3:00 PM, and C1 was not evaluated by a qualified medical professional until approximately six hours after the incident.

Based on interviews and record review, the preponderance of evidence standard was met, and the allegations are substantiated. Violations of California Code of Regulations, Title 22, sections 101428(d)(1)(A), 101229(a)(1), and 101226(a) are cited on the attached LIC 9099D.

An exit interview was conducted with Director Anna Garcia, and LPA provided a copy of the report, appeal rights, and a Notice of Site Visit (NOS). The director acknowledged that the NOS must remain posted in a prominent location for 30 consecutive days, visible to families and caregivers.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 10-CC-20260128125249
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: TOGETHER WE GROW - INFANT
FACILITY NUMBER: 376701164
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2026
Section Cited
CCR
101428(d)(1)(A)
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Infant Care Personal Services (d) When changing an infant's diapers, the following shall apply: (1) Each infant shall be diapered on a changing table. (A) No infant shall be left unattended while on a changing table. This requirement was not met as evidenced by:
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Director will email LPA a training agenda and staff sign-in regarding center protocol on diaper changing and ensuring the topic of supervision is maintained when children are having their diaper changed.
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Based on interviews five of five staff corroborated that C1 rolled off of the changing table and onto the floor after S1 turned their back, resulting in a lack of required supervision. This poses a potential risk to the health and safety of children in care.
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Type B
07/24/2026
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision
(a)The licensee shall provide care and supervision as necessary to meet the children’s needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, … Supervision shall include visual observation. This requirement was not met as evidenced by:
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Director will email LPA a training agenda and staff sign-in regarding center protocol on diaper changing and ensuring the topic of supervision is maintained when children are having their diaper changed. Director will propose different scenarios and create group discussion to cover the topic of supervision.
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Based on interviews and record review C1 fell from the changing table onto the floor after S1 turned their back, resulting in a lack of required supervision. This poses a potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 10-CC-20260128125249
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: TOGETHER WE GROW - INFANT
FACILITY NUMBER: 376701164
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2026
Section Cited
CCR
101226(a)
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(a) Health-Related Services (a) The licensee shall immediately notify the child’s authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. This requirement was not met as evidenced by:
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Director will email LPA training agenda and staff sign-in, regarding the topics of reporting requirements and protocol for notification of authorized representatives in a timely manner.

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Based on interviews and records reviewed S1 did not notify management for more than three hours after C1 fell from the changing table onto the floor. During that time, no medical assessment or head-injury protocol was initiated, and the authorized representatives were not notified. This poses a potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4