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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416403
Report Date: 07/23/2024
Date Signed: 07/23/2024 01:00:28 PM

Document Has Been Signed on 07/23/2024 01:00 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:TRINITY UNLIMITED CHILD CAREFACILITY NUMBER:
197416403
ADMINISTRATOR/
DIRECTOR:		LINDA WHITE/MARY NELSONFACILITY TYPE:
850
ADDRESS:825 S. CHESTER AVENUETELEPHONE:
(310) 631-7810
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY: 45TOTAL ENROLLED CHILDREN: 42CENSUS: 28DATE:
07/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Director, Linda WhiteTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
NARRATIVE
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On July 22, 2024 Licensing Program Analyst (LPA) A. Wallin conducted an unannounced case management inspection at facility listed above. LPA met with director, Linda White. LPA was at the facility conducting a complaint investigation.

During investigation, LPA observed no LIC 624 unusual incident report was completed or submitted to Monterey Park South West (MPSW) regional office, per Title 22 regulations, regarding incident that occurred on July 2, 2024 in which a child, while playing on the playground, ran into black metal gate pole and sustained a bump on the forehead. A type B citation issued.



The following deficiencies listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 1 and Section CCR & H&S. Exit interview was conducted and report was reviewed with director, Linda White. A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. During exit interview, director stated she was not comfortable signing report. No signtaure obtained during visit. During inspection, appeal rights were provided.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE: DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2024
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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Document Has Been Signed on 07/23/2024 01:00 PM - It Cannot Be Edited


Created By: Angelica Wallin On 07/23/2024 at 11:24 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: TRINITY UNLIMITED CHILD CARE
FACILITY NUMBER: 197416403

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/26/2024
Section Cited
CCR
101212(d)(1)(C)

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(d)...a report shall be made to the Department by telephone or fax…[and] a written report containing the information…shall be submitted to the Department...(1) Events reported shall include...(C) Any unusual incident...that threatens the...health or safety of any child. This requirement is not
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Licensee agreed to watch the following video with all staff members: Child Care Center Operators – California Child Care Licensing – Child Care Reporting Requirements. Licensee agrees to answer the following questions below and submit to LPA, via email:
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 met as evidenced by no LIC 624 submitted to the Department. Based on interviews conducted, the licensee failed to follow appropriate reporting requirements per Title 22 regulations. This poses an immediate health and safety risk to children in care.
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1. What reports am I required to submit to Licensing?
2. How and when should I file these reports?
3. Am I required to file reports with agencies other than Community Care Licensing?
4. What happens when I file a report?

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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.
SUPERVISOR'S NAME:Karen Chambers
LICENSING EVALUATOR NAME:Angelica Wallin
LICENSING EVALUATOR SIGNATURE:
DATE: 07/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2024


LIC809 (FAS) - (06/04)
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