<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016464
Report Date: 04/16/2024
Date Signed: 05/21/2026 10:27:14 AM

Document Has Been Signed on 05/21/2026 10:27 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:VAN LEEUWEN FAMILY CHILD CAREFACILITY NUMBER:
198016464
ADMINISTRATOR/
DIRECTOR:		VAN LEEUWEN, TRINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 522-5192
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
04/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:17 AM
MET WITH:VAN LEEUWEN, TRINA / LICENSEETIME VISIT/
INSPECTION COMPLETED:
12:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
 *** Amended report- change of confidential information removed ****
Licensing Program Analyst (LPA) Ashley Calderon and Jeanette Estrada conducted a case management inspection visit regarding an alleged incident that was reported to CCLD on 4/08/24, involving two children.

Date of alleged incident Thursday March 28,2024.
Per Licensee, child #1 (C1) told parent over the weekend of an incident that C1 stated occurred at the facility. Licensee informed LPA's that on 4/7/24 C1 mother spoke to Licensee regarding incident.

Per Licensee It was reported that four children were in the playroom area watching tv, the day that C1 is stating an alleged incident occurred. When LPA's interviewed Licensee, the Licensee stated the child #1 did not seem to act a different way, be sad or did not say anything regarding incident, and incident was not observed by facility staff. Licensee stated checking on the children every 15-20 minutes and informed LPA's they felt as it was an alleged incident and in addition Licensee informed LPA they spoke to Child #2 (C2) parent they stated that C2 expressed they didn't do what C1 stated that occurred to them. Moreover, per Licensee informed LPA's, C1 was coming to the child care home during their school spring break: March 25-29,2024 therefore Child #1 was not present during today's visit 4/26/24 to conduct an interview.

LPA attempt to interview Child #2, licensee stated child's mother did not want any personnel's speaking to child.

Further interviews will be conducted for parents of Child #1 and Child #2 as part of investigation.

Exit interview conducted with Licensee Trin Leeuwen and a notice of site visit was given and must remain posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1