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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870957
Report Date: 01/19/2023
Date Signed: 01/19/2023 02:28:10 PM


Document Has Been Signed on 01/19/2023 02:28 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:TRINITY STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191870957
ADMINISTRATOR:KIMBERLY JORDANFACILITY TYPE:
850
ADDRESS:3816 TRINITY STTELEPHONE:
(323) 232-4017
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:114CENSUS: 28DATE:
01/19/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Vivian Beans, PrincipalTIME COMPLETED:
02:40 PM
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Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced case management inspection on 1/19/34 at 2:00PM. Upon arrival, LPA met with Vivian Beans, Principal. There were 28 children present during inspection.

On 1/11/23, Principal submitted an unusual incident report to the Department regarding an incident that was brought to her attention on 1/11/23. Incident report stated that a child's personal rights may have been violated. Per Principal, an internal investigation is taking place and staff has been reassigned until investigation is complete. The school district and law enforcement will be handling the investigation. LPA conducted interview with Principal. Staff and child involved are temporarily not returning to facility. LPA requested other pertinent documentation needed to conduct investigation.

Due to insufficient information available at this time, LPA will return for subsequent visit.

No deficiencies were cited today 1/19/23. Principal met reporting requirement for this incidents.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted with Vivian Beans, Principal.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:
DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/19/2023
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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