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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209331
Report Date: 06/22/2023
Date Signed: 06/22/2023 12:39:21 PM

Document Has Been Signed on 06/22/2023 12:39 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
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:ASPIRING CARE FACILITY, INCFACILITY NUMBER:
107209331
ADMINISTRATOR:VOSKANYAN, MARINEFACILITY TYPE:
740
ADDRESS:3251 WEST ELLARY AVETELEPHONE:
(559) 241-9332
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY: 6CENSUS: 0DATE:
06/22/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:03 AM
MET WITH:Marine, VoskanyanTIME COMPLETED:
12:45 PM
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On 6/21/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility to complete a Pre-Licensing inspection visit. LPA met with Licensee, Marine Voskanyan. LPA completed tour with Licensee inside and out.

LPA returned to facility to review and inspect corrections that were needed. Phone service was present and operational. Licensee had land line service installed. Current phone number is (559) 319-6002. Let Us Know posting is at proper size of 20x26. Hand washing signs present at hand washing stations.

Component III conducted during pre-licensing inspection.

I have found that applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.

Pre-Licensing is complete and this facility has no deficiencies.

Exit interview completed with Applicant, Marine. A copy of this report given.

SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2023
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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