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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100405170
Report Date: 04/17/2023
Date Signed: 04/17/2023 10:28:39 AM


Document Has Been Signed on 04/17/2023 10:28 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:PARKWEST INFANT & PRESCHOOL CENTERFACILITY NUMBER:
100405170
ADMINISTRATOR:GAITEN, ELSIEFACILITY TYPE:
840
ADDRESS:2495 W. ALAMOSTELEPHONE:
(559) 229-1104
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY:14CENSUS: 0DATE:
04/17/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Gloreta Johnson, Program DirectorTIME COMPLETED:
10:30 AM
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On 4/17/23, Licensing Program Analyst (LPA) Priscilla Zamudio attempted to complete an unannounced required annual inspection for school age license, however, LPA was informed that the facility is no longer operating for this group. Director requested closure of this license and submitted a formal notice request with license attached, effective today.
SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Priscilla ZamudioTELEPHONE: (559) 578-7350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/17/2023
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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