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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808880
Report Date: 05/24/2024
Date Signed: 05/24/2024 02:14:44 PM

Document Has Been Signed on 05/24/2024 02:14 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:KIDS KARE OWENS RANCHFACILITY NUMBER:
103808880
ADMINISTRATOR/
DIRECTOR:		TABATABAI, SUSANFACILITY TYPE:
850
ADDRESS:2683 OWENS MOUNTAIN PKWYTELEPHONE:
(559) 275-1169
CITY:CLOVISSTATE: CAZIP CODE:
93619
CAPACITY: 118TOTAL ENROLLED CHILDREN: 107CENSUS: 76DATE:
05/24/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Elizabeth FransenTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 05/24/2024, Licensing Program Analysts (LPAs) Miguel Herrera and Yesenia Fierro conducted an unannounced case management inspection. LPAs met with Assistant Director, Elizabeth Fransen and toured the facility, both indoors and outdoors. Program Director Adriana Morales came at a later time to meet with LPAs Herrera and Fierro. LPAs were unable to complete the inspection in the facility and will continue the inspection from Child Care Licensing – Fresno office.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2024
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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