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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 500312341
Report Date: 07/23/2024
Date Signed: 07/23/2024 02:33:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/16/2024 and conducted by Evaluator Yesenia Fierro
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20240716143715
FACILITY NAME:TRINITY NURSERY SCHOOLFACILITY NUMBER:
500312341
ADMINISTRATOR:CASSANDRA TORREZFACILITY TYPE:
830
ADDRESS:1600 CARVER RDTELEPHONE:
(209) 578-5625
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:24CENSUS: 12DATE:
07/23/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Cassandra TorrezTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff left day care children unattended outside.
Staff did not comply with reporting requirements.
INVESTIGATION FINDINGS:
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On Tuesday, July 23, 2024, Licensing Program Manager (LPM) Juvenal Moctezuma and Licensing Program Analyst (LPA) Yesenia Fierro conducted an unannounced complaint inspection to obtain additional information and conclude the investigation. LPA met with Site Supervisor, Cassandra Torres & explained the purpose of the inspection. A tour of the facility was conducted, and census was taken.

During the course of the investigation, LPM and LPA interviewed Site Supervisor, day care staff, and conducted observations. Based on the information obtained during interviews, it was determined there were to two (2) different incidents involving lack of care and supervision. A child was left in the play yard while a staff was taking their class inside their classroom. Second incident involved two children wandering off to the side of the preschool office. It was undisclosed how long children were left unsupervised. Children were found by another staff member. Both incidents were not reported to the parent/guardian of the children involved nor to the Fresno Regional Office. Facility failed to provide adequate care and supervision to children in care.

Continued Onto LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
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.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 04-CC-20240716143715
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: TRINITY NURSERY SCHOOL
FACILITY NUMBER: 500312341
VISIT DATE: 07/23/2024
NARRATIVE
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Based upon LPA's records review & interviews conducted, the preponderance of evidence standard has been met, therefore the above listed allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 12, Chapter 1, a Type A deficiency is being cited on the attached LIC 9099D.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Site Supervisor Cassandra Torrez. Per Site Supervisor a completed signed copy of the LIC 9224 will be placed in each child's file.

An exit interview conducted with Site Supervisor Cassandra Torrez.
A copy of this report and Appeal Rights were provided and discussed with Site Supervisor Cassandra Torrez.

A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
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
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 04-CC-20240716143715
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: TRINITY NURSERY SCHOOL
FACILITY NUMBER: 500312341
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/24/2024
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision....(1) No child(ren) shall be left without the supervision of a teacher at any time ...This requirement was not met as evidenced by: Through staff interviews and records reviewed, it was confirmed
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Cassandra stated that facility will conduct a staff training on care and supervision and provide proof of training materials to LPA. Cassandra will also provide a list of all employees who attended the training along with their written statements documenting what they learned.
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child #1 and child #2 left the playground through a unsecured gate in the play yard. Children were found by another staff. Another incident occurred where a child was left in play yard while their class was inside, this poses an immediate Health, Safety, and/or personal rights risk to children in care.
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Additionally, Site Supervisor will submit a letterhead statement on how staff will ensure that all children are being accounted for. Letter will be submitted to CCL by POC due date 07/24/2024.
CCR
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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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
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
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 04-CC-20240716143715
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: TRINITY NURSERY SCHOOL
FACILITY NUMBER: 500312341
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2024
Section Cited
CCR
101212(d)(1)(C)
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Reporting Requirements(d)Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.
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Site Supervisor stated that she will review the reporting requirements video on the CCL website and conduct a staff meeting addressing the CCL reporting requirements and submit a written plan on how the facility will ensure all incident reports are documented and reported to Fresno RO.
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In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.This requirement was not met as evidenced by: Based on records reviewed & Interviews conducted, Facility did not report incidents to the parents/Guardians of children in care. Incidents were also not reported to the Fresno Regional Office. This poses a potential risk to the health, safety, or personal rights of children.
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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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
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
LIC9099 (FAS) - (06/04)
Page: 4 of 4