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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107208905
Report Date: 12/10/2024
Date Signed: 12/10/2024 09:30:06 AM

Document Has Been Signed on 12/10/2024 09:30 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 RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:HEART TO HEART FAMILY CARE CENTER LLCFACILITY NUMBER:
107208905
ADMINISTRATOR/
DIRECTOR:		VANG, CHAOFACILITY TYPE:
740
ADDRESS:672 E WRENWOOD AVETELEPHONE:
(559) 797-2166
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY: 6CENSUS: 5DATE:
12/10/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:01 AM
MET WITH:Chao VangTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On 12/10/2024, Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the facility for the purpose of completing the Annual Inspection.
LPA Boyd met with Administrator Vang and she stated that she came in this morning without her files and her computer which contains the needed staff and resident files needed for review. LPA asked how long it would take to get the files here. Administrator stated that she lives about 30 minutes from the facility and she could be back here in an hour. LPA agreed that we can meet at the home tomorrow afternoon to complete the file review.

Due to files not being at the facility, LPA Boyd will complete the Annual Inspection tomorrow when Administrator brings all files to the facility.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Daiquiri Boyd
LICENSING EVALUATOR SIGNATURE: DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/10/2024
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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