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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 500312341
Report Date: 02/27/2025
Date Signed: 02/27/2025 11:03:50 AM

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
01/09/2025 and conducted by Evaluator Xona Xayavong
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20250109155942
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:0CENSUS: 16DATE:
02/27/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director Cassandra TorrezTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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1. Child received unexplained injuries.
INVESTIGATION FINDINGS:
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On 02/27/2025, Licensing Program Analyst (LPA) Xona Xayavong conducted an unannounced complaint inspection, met with Director Cassandra Torrez to discuss the above allegation, and delivered the findings. A tour of the facility was conducted, and a census was taken.

During the investigation, LPA Xayavong conducted classroom observation and interviews with staff. LPA also obtained facility documents. Through interviews and observations, it was revealed that the staff member did not have a 360-degree view of the child during the incident, and the classroom layout also limited visibility. Staff would have to relocate to various areas of the partitioned middle area or physically turn the child to have full visibility. Based on observations and information gathered through interviews, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED.

(Continue on 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Xona Xayavong
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
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 3
Control Number 04-CC-20250109155942
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: 02/27/2025
NARRATIVE
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Per California Code of Regulations, Title 22, Division 12, Chapter 1, a deficiency is being cited on the attached LIC 9099D. An exit interview was conducted with Director Cassandra Torrez. A copy of this report and Appeal Rights were provided and discussed with Director Cassandra Torrez. A Notice of Site Visit Form was posted to the parent’s board and must remain posted for 30 days.
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Xona Xayavong
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20250109155942
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: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/27/2025
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children’s needs…(1) Supervision shall include visual observation. This requirement was not met as evidenced by:
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Director Torrez stated that she conducted a meeting with staff on 01/10/2025 regarding supervsion and emphasized the importance of maintaing full visual oversight of the children in care.
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Based on interviews and observation, staff did not have a 360-degree view of the child, which poses/posed a potential risk to the health, safety, or personal rights of persons in care.
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 LPA observed that extra mirrors were installed on the south side wall of the partitioned middle area to provide a frontal view of the children if they turn their backs to the staff.
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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: Kari McWilliams
LICENSING EVALUATOR NAME: Xona Xayavong
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3