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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
103808428
Report Date:
08/07/2019
Date Signed:
08/07/2019 01:40:42 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:
FCEOC EARLY HEAD START CHILD DEVELOPMENT CENTER
FACILITY NUMBER:
103808428
ADMINISTRATOR:
VARGAS, CHRISTINA
FACILITY TYPE:
830
ADDRESS:
1441 E. DIVISADERO AVENUE
TELEPHONE:
(559) 487-1053
CITY:
FRESNO
STATE:
CA
ZIP CODE:
93721
CAPACITY:
16
CENSUS:
12
DATE:
08/07/2019
TYPE OF VISIT:
Annual/Random
UNANNOUNCED
TIME BEGAN:
11:00 AM
MET WITH:
Cheryl Jones
TIME COMPLETED:
02:00 PM
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SUPERVISOR'S NAME:
Michael Duarte
TELEPHONE:
(559) 650-7874
LICENSING EVALUATOR NAME:
Cynthia Brannon
TELEPHONE:
(559) 341-5155
LICENSING EVALUATOR SIGNATURE:
DATE:
08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/07/2019
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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