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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 167209144
Report Date: 08/26/2024
Date Signed: 08/26/2024 01:05:42 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/26/2024 01:05 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:SPARKS' RESIDENTIAL SUNSET VIEWFACILITY NUMBER:
167209144
ADMINISTRATOR/
DIRECTOR:		SPARKS, CEIARAFACILITY TYPE:
740
ADDRESS:991 S GREEN STREETTELEPHONE:
(559) 772-8141
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY: 6CENSUS: 4DATE:
08/26/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Administrator-Ceira SparksTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 08/26/24 Licensing Program Analysts (LPA) J. Leffall and K. McClurg arrived unannounced to conduct an Annual Continuation Inspection. LPAs introduced selves, stated the purpose of the visit, and was greeted by Licensee Ceira Sparks granted entry. No clients were present during inspection.

Staff and clients’ files were reviewed and observed to have all the required documents.

No deficiencies issued during this inspection.

Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 08/31/24: Lic 308, Lic 500, Lic 610D, and Lic 9020. LPA received a copy of current Administrator certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.

SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2024
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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