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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604086
Report Date: 01/22/2025
Date Signed: 01/22/2025 05:21:12 PM

Document Has Been Signed on 01/22/2025 05:21 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:TRINITY CARE HOMES IIFACILITY NUMBER:
374604086
ADMINISTRATOR/
DIRECTOR:
GONZALEZ, YARINNFACILITY TYPE:
735
ADDRESS:1459 GOWIN STTELEPHONE:
(619) 825-7333
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 4CENSUS: 4DATE:
01/22/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:33 PM
MET WITH:Christy Alverez and Yarinn Gonzalez AdministratorTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Tiffany Holmes and Arian Golbakhsh conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPAs was greeted by, identified herself to, and explained the purpose of the visit with Administrator Christy Alvarez and Yarinn Gonzalez arrived during the visit.

The facility is licensed for a maximum capacity of 4 ambulatory clients. During today’s visit, the facility had a census of 4 ambulatory clients. The Administrator for the facility is Christy Alvarez and their certificate was valid and current.

During today’s visit, LPAs toured the facility and inspected each room of the facility, including client rooms, bathrooms for client and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed near or on the premises. According to Yarinn Gonzalez, no firearms or weapons are stored on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 124.3 degrees Fahrenheit in bathroom. The facility’s internal temperature was measured at 76 degrees Fahrenheit. LPAs observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. LPA also observed locked storage for client medications and client and staff files. Client medications are stored in their original container and label. LPAs observed a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. LPAs observed linens and hygiene products provided to the clients that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate.

Continued on LIC809-C page…
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: TRINITY CARE HOMES II
FACILITY NUMBER: 374604086
VISIT DATE: 01/22/2025
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LPAs reviewed multiple client and staff records. Each client record was complete and contained a signed admission agreement, updated physician’s report and medical assessment, documents regarding safeguarding personal property and cash resources, and personal rights. LPAs reviewed clients’ personal and incidental money. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPAs spoke with staff and clients present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns.

The Licensee will submit copies of the LIC500 Personnel Report and LIC610D Disaster Plan to the Department within 15 business days.

No deficiencies were observed or cited on today’s date. An exit interview was conducted with Administrator Christy Alverez and Licensee Yarinn Gonzalez, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC809 (FAS) - (06/04)
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