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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808880
Report Date: 07/25/2024
Date Signed: 07/25/2024 10:30:20 AM

Document Has Been Signed on 07/25/2024 10:30 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
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:
93611
CAPACITY: 118TOTAL ENROLLED CHILDREN: 118CENSUS: DATE:
07/25/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Jim Fisher and Adriana MoralesTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 07/25/2024, Regional Manager (RM), Susie Fanning, Licensing Program Manager (LPM), Juvenal Moctezuma, Licensing Program Analysts (LPAs) Miguel Herrera and Yesenia Fierro met with Owner Jim Fisher and Program Director Adriana Morales in the CCLD Fresno Regional Office to conclude the complaint investigation that was received on 05/16/2024 and obtain signatures.

During today’s meeting, RM Fanning discussed the process of a complaint investigation, reviewed the facilities bathroom monitoring procedures, teacher qualifications, exceptions, facilities transportation procedures, the departments Inspection Authority, Notice of Employee Rights (LIC 9052), and went over Parents Rights (LIC 995).

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited. Exit interview conducted and report was reviewed with Owner Jim Fisher and Program Director Adriana Morales.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/25/2024
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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