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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801117
Report Date: 05/20/2020
Date Signed: 05/20/2020 05:48:54 PM

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:KIDS KARE WESTFACILITY NUMBER:
103801117
ADMINISTRATOR:RAMIREZ, ANDREAFACILITY TYPE:
840
ADDRESS:3375 W. FIG GARDEN DRIVETELEPHONE:
(559) 438-1921
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY:72CENSUS: 0DATE:
05/20/2020
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:N/ATIME COMPLETED:
04:45 PM
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On this date, 5/20/2020 Licensing Program Analyst (LPA) Ruby Ocegueda conducted a collateral visit to the Fresno Police Department at 2326 Fresno St. Fresno CA 93721. The purpose of this visit was to obtain information that would assist LPA Ocegueda in the complaint investigation. LPA Ocegueda met with and was assisted by detective Cha Thao.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2020
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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