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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209208
Report Date: 07/12/2024
Date Signed: 07/12/2024 09:13:56 AM

Document Has Been Signed on 07/12/2024 09:13 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:ABLELIGHT, INC. -DEWITTFACILITY NUMBER:
107209208
ADMINISTRATOR/
DIRECTOR:		MASK, ITASKAFACILITY TYPE:
740
ADDRESS:898 N. DEWITT AVE.TELEPHONE:
(559) 322-9183
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY: 4CENSUS: 4DATE:
07/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:20 AM
MET WITH:Troy Rice-Area DirectorTIME VISIT/
INSPECTION COMPLETED:
09:30 AM
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On 7/12/24 Licensing Program Analysts M. Yang and J. Leffall arrived unannounced for a case management visit regarding a Default Decision and Order for Staff 1 (S1) LPA's met with staff Kimberly Leonard. Administrator Itaska Mask was called and arrived shortly. Troy Rice arrived and verified Brianna Garret is not employed. LPA's conduct visit to verify an individual that no longer has a criminal record clearance is working at the facility.

LPA's were informed by Administrator that Staff member is not employed at the facility and no longer associated with the facility.

Exit interview was conducted. A copy of this report was provided to Area Director, whose signature confirms receipt of this report.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2024
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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