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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153908476
Report Date: 04/22/2021
Date Signed: 04/27/2021 10:53:49 AM

Document Has Been Signed on 04/27/2021 10:53 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:ALDRIDGE, REBECCA FAMILY CHILD CAREFACILITY NUMBER:
153908476
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 1DATE:
04/22/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Rebecca Aldridge - Licensee TIME COMPLETED:
04:40 PM
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On 4/22/2021, Licensing Program Analyst (LPA) Jessika Thompson conducted a Case Management inspection. LPA met with licensee, Rebecca Aldridge. A tour of the facility was made and a census was taken.

The purpose of today's inspection was to address an unusual incident recently reported to the Department.

Today, LPA reviewed facility records, observed children in care, and interviewed the licensee. At this time, investigation into this matter is ongoing.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiencies were cited today.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2021
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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