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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153902181
Report Date: 06/26/2019
Date Signed: 06/26/2019 11:27:34 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:MCQUENNIE, CONNIE FAMILY CHILD CAREFACILITY NUMBER:
153902181
ADMINISTRATOR:MCQUENNIE, CONNIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 835-7690
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:14CENSUS: 3DATE:
06/26/2019
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Connie McQuennieTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced Case Management visit and met with Licensee Connie McQuennie.

The purpose of this visit is to Continue the 5/29/2019 Annual inspection.

LPA Marquez reviewed Staff and Children files.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited.

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
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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