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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808887
Report Date: 05/01/2024
Date Signed: 07/17/2024 12:20:26 PM

Document Has Been Signed on 07/17/2024 12:20 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SMALL WORLD CHRISTIAN SCHOOLFACILITY NUMBER:
503808887
ADMINISTRATOR/
DIRECTOR:		PADILLA, MIRIAMFACILITY TYPE:
850
ADDRESS:1024 6TH STREETTELEPHONE:
(209) 523-4388
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY: 74TOTAL ENROLLED CHILDREN: 64CENSUS: 32DATE:
05/01/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Debbie Martines TIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On May 1, 2024, Licensing Program Analyst (LPA), Yesenia Fierro, conducted an unannounced case management LPA met with Site Supervisor Debbie Martinez. LPA Fierro toured the facility and took a census. The purpose of today’s inspection was to conduct teacher interviews.

Per California Code of Regulations, Title 22, Division 12, Chapter 1 no deficiency cited during today's visit. An exit interview conducted with Site Supervisor Debbie Martinez.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
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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