<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209456
Report Date: 08/15/2024
Date Signed: 08/15/2024 09:24:30 AM

Document Has Been Signed on 08/15/2024 09:24 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:G AND R HOMEFACILITY NUMBER:
107209456
ADMINISTRATOR/
DIRECTOR:		GLORIA, SARAFACILITY TYPE:
740
ADDRESS:6219 E SUSSEX WAYTELEPHONE:
(559) 444-3806
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY: 6CENSUS: 0DATE:
08/15/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Diane RecenoTIME VISIT/
INSPECTION COMPLETED:
09:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 8/15/24, Licensing Program Analyst (LPA) M. Medina conducted a subsequent announced Pre-licensing inspection. LPA met with Licensee, Diane Receno. LPA toured the facility with Licensee.

The following items have be completed:

1) Exit gate on west side of facility is now self-latching

2) Side fence on west side of facility has been repaired

3) Area along east side of facility has cleaned and all items have been miscellaneous items have been removed

4) Cement ramps have been installed at all exit doors

LPA 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.



Exit interview conducted. A copy of this report was provided for facility records.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1