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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808928
Report Date: 07/26/2023
Date Signed: 07/26/2023 11:16:07 AM


Document Has Been Signed on 07/26/2023 11:16 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:SPECIAL EXPLORERS CENTERFACILITY NUMBER:
153808928
ADMINISTRATOR:BOWDEN, DAMIANFACILITY TYPE:
840
ADDRESS:401 19TH STREETTELEPHONE:
(661) 493-0688
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY:30CENSUS: 20DATE:
07/26/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Farod NashTIME COMPLETED:
11:20 AM
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On 07/26/2023, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced case management inspection at the facility. LPA met with Social Services Manager (SSM) Farod Nash and Director Evelyn Hernandez to discuss an Exclusion Decision and Order issued by the Department regarding Adult #1. LPA toured the facility and took a census.

Director indicated Adult #1 has not been present at the facility. Adult #1 did attend training outside the facility in August 2022, but did not have contact with children. LPA informed Director that the Department has issued a lifetime Notice of Exclusion for Adult #1. Based on evidence obtained during today’s visit, the LPA has verified Adult #1 is not present, employed or residing at the facility. LPA also provided Director with a copy of the Decision and Order. Verification of exclusion is complete.

Per California Code of Regulations Title 22, Division 12, no deficiencies cited today.
LIC 9213 Notice of Site Visit form is required to be posted for 30 days.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 341-4117
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2023
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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