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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371651
Report Date: 03/18/2025
Date Signed: 03/18/2025 11:49:15 AM

Document Has Been Signed on 03/18/2025 11:49 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:TRF ST. PETERFACILITY NUMBER:
304371651
ADMINISTRATOR/
DIRECTOR:		BROPHY, CLARISSAFACILITY TYPE:
830
ADDRESS:1510 NORTH PARTONTELEPHONE:
(714) 804-5595
CITY:SANTA ANASTATE: CAZIP CODE:
92706
CAPACITY: 7TOTAL ENROLLED CHILDREN: 7CENSUS: 4DATE:
03/18/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Interm Director Alicia BarajasTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Giselle Lucero conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 03/07/2025. LPA met with Interm Director Alicia Barajas. LPA observed 4 infants with 2 staff.

A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 03/07/2025 a self reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported on Friday March 5, 2025, Parent #1 (P1) called the facility to report Child #1 (C1) was observed with bruising on both calves and lower stomach area.

During today’s visit, LPA interviewed 4 staff and obtained documents. Due to insufficient information available at this time, the reported incident needs further investigation.

Exit interview was conducted. The Notice of Site Visit was posted. Enrollment Specialist Clarissa Brophy was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.

End of Report.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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