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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153905221
Report Date: 12/22/2022
Date Signed: 01/05/2023 10:56:29 AM


Document Has Been Signed on 01/05/2023 10:56 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:RUIZ, LORRAINE FAMILY CHILD CAREFACILITY NUMBER:
153905221
ADMINISTRATOR:RUIZ, LORRAINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 397-7082
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:14CENSUS: 0DATE:
12/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Lorraine Ruiz - LicenseeTIME COMPLETED:
11:15 AM
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On 12/22/22, LPA Jessika Thompson conducted an unannounced case management inspection. 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 her facility, thereby terminating her child care 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 12/22/22.

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: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/22/2022
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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