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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100401132
Report Date: 01/12/2022
Date Signed: 01/14/2022 08:36:04 AM

Document Has Been Signed on 01/14/2022 08:36 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:INFANT WORLDFACILITY NUMBER:
100401132
ADMINISTRATOR:WINGFIELD, SYLVIAFACILITY TYPE:
830
ADDRESS:2228 N HOWARDTELEPHONE:
(559) 229-8414
CITY:FRESNOSTATE: CAZIP CODE:
93703
CAPACITY: 32TOTAL ENROLLED CHILDREN: 18CENSUS: 12DATE:
01/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Sylvia WingfieldTIME COMPLETED:
04:00 PM
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On 01/12/22, Licensing Program Analyst (LPA) Angelica Slaughter conducted an unannounced Case Management Inspection to the facility and met with Center Director Sylvia Wingfield. The purpose of this inspection is to obtain signatures on a Case Management Inspection conducted on 01/11/22.
NAME OF LICENSING PROGRAM MANAGER: Diana deLeon
NAME OF LICENSING PROGRAM ANALYST: Angelica Slaughter
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/12/2022
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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