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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801839
Report Date: 03/19/2021
Date Signed: 03/19/2021 08:58:28 AM

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:NEW LIFE DISCOVERY SCHOOL-CLOVISFACILITY NUMBER:
103801839
ADMINISTRATOR:CHANG, BLIAFACILITY TYPE:
850
ADDRESS:1675 MINNEWAWATELEPHONE:
(559) 322-4453
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:45CENSUS: 16DATE:
03/19/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Blia ChangTIME COMPLETED:
09:00 AM
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On March 19, 2021 Licensing Program Analysts (LPAs), Kari McWilliams and Diane Mercado, conducted an unannounced case management inspection. LPAs met with Director, Blia Chang and took a census. The purpose of today's inspection was to interview staff, review children files, and inspect facility grounds.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency is cited today. Notice of Site Inspection to be posted for 30 days.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Kari McWilliamsTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2021
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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