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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107202360
Report Date: 02/05/2025
Date Signed: 02/05/2025 11:54:30 AM

Document Has Been Signed on 02/05/2025 11:54 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:TRINITY DEVELOPMENT CENTERSFACILITY NUMBER:
107202360
ADMINISTRATOR/
DIRECTOR:		MEDINA, MYSTIFACILITY TYPE:
775
ADDRESS:1568 N. MILLBROOK AVE.TELEPHONE:
(559) 412-8996
CITY:FRESNOSTATE: CAZIP CODE:
93703
CAPACITY: 90CENSUS: 52DATE:
02/05/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:43 AM
MET WITH:Vanessa RomeroTIME VISIT/
INSPECTION COMPLETED:
12:05 PM
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On 2/05/25, Licensing Program Analyst (LPA) M. Medina conducted a subsequent unannounced Case Management visit to day program. LPA arrived, introduced self, stated purpose of visit, and allowed entrance by staff.

LPA returned to day program to return a file for R1 that was removed to copy at Fresno Regional Office in regards to complaint #24-20250130163529.

No deficiencies cited during visit.

Exit interview conducted and a copy will provided to day program via email.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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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