The authors report on a small organizational case study highlighting the dimensions of trauma-informed care, the processes of organizational change, and the growth of caregiver expertise. The article is framed by the notion of caregiving cultures, which refers to the beliefs, languages, and practices of caregivers and caregiving organizations. This article (a) introduces the notion of a caregiving culture, (b) describes a "pre-transformation" caregiving culture, (c) describes some transformational experiences in a small caregiving organization, (d) presents some data documenting organizational change, (e) describes a "post-transformation" caregiving culture, and (f) concludes with some observations about the structure of change. (Contains 4 figures.)