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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153806022
Report Date: 11/04/2022
Date Signed: 11/04/2022 09:03:27 AM


Document Has Been Signed on 11/04/2022 09:03 AM - 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:MULLINS, TERESA FAMILY CHILD CAREFACILITY NUMBER:
153806022
ADMINISTRATOR:MULLINS, TERESAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 205-6226
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:14CENSUS: 0DATE:
11/04/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Teresa Mullins- Licensee TIME COMPLETED:
08:55 AM
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On 11/4/2022, LPA Jessika Thompson conducted an unannounced case management inspection. No children were present. Initially, the purpose of this visit was conduct and annual inspection; however, the licensee stated she is no longer operating a day-care and wishes to permanently close, thereby terminating her license.

LPA discussed exempt care with the licensee. Licensee stated she understands the ramifications of operating an unlicensed child-care home.

Licensee's child-care home will be closed permanently effective 11/04/22.

No deficiencies were cited on this date.

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: (559) 341-4622
LICENSING EVALUATOR SIGNATURE:
DATE: 11/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/04/2022
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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