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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197608636
Report Date: 05/30/2023
Date Signed: 05/30/2023 11:20:55 AM

Document Has Been Signed on 05/30/2023 11:20 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:ROYAL TRINITY ENRICHMENT CENTERFACILITY NUMBER:
197608636
ADMINISTRATOR:BERNARD MOSES ISIKOFACILITY TYPE:
735
ADDRESS:13142 CROWLEY STREETTELEPHONE:
(818) 394-9745
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY: 6CENSUS: 6DATE:
05/30/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Bernard Moses Isiko, AdministratorTIME COMPLETED:
11:30 AM
NARRATIVE
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The purpose of this meeting was to discuss recent issues of non-compliance. Present at today’s meeting were: Bernard Isiko, LiceAdministrator, Regional Manager (RM) Angela Kendrick, Licensing Program Managers (LPMs), Eva Miller and Troy Agard and Licensing Program Analyst (LPA) Angela Panushkina.

The informal conference process was explained to the Licensee and Administrator. Additionally, they were also informed that this Informal Conference is part of the administrative action process and that further non-compliance and/or citations would result in requiring the attendance at a Non-Compliance Conference meeting.

Royal Trinilty Enrichment Center, Inc. was licensed on 07/01/2014. From the date the facility was licensed to present (05/30/2023), the Regional Office (RO) received three (3) complaints. Two (2) out of Three (3) complaints have been found Substantiated.

During today’s conference, the following matters were discussed:

· Health Related Services:
a. Section: 80075(k)(1)
b. Dates: 03/03/23
· Capacity Determination
a. Section: 80028(b)(6)
b. Date: 03/03/23
· Storage Space
a. Section: 80087(g)(1)
b. Date: 11/13/2017
Continue on LIC809-C
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: ROYAL TRINITY ENRICHMENT CENTER
FACILITY NUMBER: 197608636
VISIT DATE: 05/30/2023
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Although, prior history of the citations and plan of corrections were discussed/received, the Licensee was asked what steps will be taken to prevent this from happening again. Licensee/Administrator provided detailed information to the Department.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023
LIC809 (FAS) - (06/04)
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