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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801353
Report Date: 11/17/2022
Date Signed: 11/17/2022 03:11:28 PM

Document Has Been Signed on 11/17/2022 03:11 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CAMPUS CHILDREN'S CENTER - SITE IIIFACILITY NUMBER:
103801353
ADMINISTRATOR:RANDOLPH, BRITTNEYFACILITY TYPE:
830
ADDRESS:5150 N CAMPUS DRTELEPHONE:
(559) 278-0225
CITY:FRESNOSTATE: CAZIP CODE:
93740
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 6DATE:
11/17/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Renee BenellTIME COMPLETED:
04:00 PM
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On November 17, 2022, Licensing Program Analyst (LPA) C Brannon conducted an unannounced inspection. LPA met with Associate Program Director, Renee Benell. During today's inspection, LPA interviewed staff 1 and took photographs of classroom.

LPA will return to complete interviews.

Exit interview conducted and report was reviewed with Associate Program Director, Renee Benell.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2022
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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