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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 507005673
Report Date: 04/12/2024
Date Signed: 04/12/2024 12:47:18 PM


Document Has Been Signed on 04/12/2024 12:47 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
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:TRINITY VALLEY CAREFACILITY NUMBER:
507005673
ADMINISTRATOR:TRINIDAD, JOANNEFACILITY TYPE:
740
ADDRESS:242 S LAUREL STTELEPHONE:
(209) 678-4489
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY:15CENSUS: 8DATE:
04/12/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Joanne Trinidad, AdministratorTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to conduct an annual inspection at approximately 9 am. LPA Campbell met with Joanne Trinidad, Administrator and Licensee and explained the purpose of the visit.

The facility is a two story building with eight clients currently living on the first floor and staff living quarters and offices on the second floor. Per Anabel Ventura, Caregiver, there are eight clients residing in the facility.  LPA Campbell toured the facility and inspected common areas, the kitchen, bedrooms, bathrooms, offices and staff living areas and backyard areas to ensure there are no safety hazards for residents. Furniture and furnishings were sufficient to meet the needs of residents. LPA Campbell observed a patio on the second floor. The facility temperature was 73 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 107 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. The Annual Fire Inspection reports for 2022 and 2023 were observed by LPA Campbell and were given an All Clear Statsus by the Turlock Fire Department.

LPA Campbell observed first aid supplies and a fully-charged and up-to-date fire extinguisher that was last inspected on 10/18/2023. LPA Campbell observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Renee CampbellTELEPHONE: (916) 206-6380
LICENSING EVALUATOR SIGNATURE:
DATE: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/12/2024
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
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: TRINITY VALLEY CARE
FACILITY NUMBER: 507005673
VISIT DATE: 04/12/2024
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LPA Campbell observed locked closets and cabinets for the storage of medication. Sharps were locked in a drawer in a kitchen. LPA Campbell observed locked storage areas in the laundry room, and under the sink for the storage of cleaning solutions as well.

Per California Code of Regulations (CCR's) - Title 22, Division 6, Chapter 8, no deficiencies are being cited.
An exit interview was conducted with Joanne Trinidad, Administrator and a copy of this report was provided.
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Renee CampbellTELEPHONE: (916) 206-6380
LICENSING EVALUATOR SIGNATURE:

DATE: 04/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2024
LIC809 (FAS) - (06/04)
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