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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103903390
Report Date: 06/09/2023
Date Signed: 06/13/2023 04:55:46 PM


Document Has Been Signed on 06/13/2023 04:55 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:DADIAN, MELISSA FAMILY CHILD CAREFACILITY NUMBER:
103903390
ADMINISTRATOR:DADIAN, MELISSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 907-5459
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:14CENSUS: 12DATE:
06/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Melissa DadianTIME COMPLETED:
02:20 PM
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On 06/09/2023, Licensing Program Analyst (LPA) Yesenia Fierro and conducted an unannounced case management inspection. LPA toured the facility, and a census was taken. LPA met with Licensee, Melissa Dadian. The purpose of today's inspection was to follow up an incident involving children's personal rights.
LPA reminded Licensee of supervision and personal rights requirements. LPA also reminded Licensee of reporting requirements. Facility has proper measures in place regarding children distinguishing good touches from bad touches, as well as keeping their hands to themselves.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with Licensee, Melissa Dadian.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Rene MancinasTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Yesenia FierroTELEPHONE: (559) 794-0709
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2023
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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