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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500312457
Report Date: 07/18/2022
Date Signed: 07/18/2022 10:54:12 AM


Document Has Been Signed on 07/18/2022 10:54 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:TURLOCK CHRISTIAN SCHOOLFACILITY NUMBER:
500312457
ADMINISTRATOR:DE LA MOTTE, HEIDIFACILITY TYPE:
850
ADDRESS:2006 E TUOLUMNE ROADTELEPHONE:
(209) 669-2192
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:100CENSUS: 45DATE:
07/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director - Jennifer Renteria TIME COMPLETED:
11:00 AM
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On 07/18/2022, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced case management inspection. LPA met with Director Jennifer Renteria. The purpose of today's inspection was to discuss the Director change.

Jennifer Renteria has replaced Heidi de la Motte as Director effective 07/01/2022. LPA reviewed the documents needed to make the director change. The following documents are to be submitted to the Department within 30 days:
  • Health & Safety Training certificate
  • LIC 500 - Personnel Report
  • LIC 610 - Emergency Disaster Plan
  • Orientation certificate for Component II Operations and Record Keeping
  • Board Resolution on letterhead

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies were observed today. Exit interview conducted and report was reviewed with the or facility representative Jennifer Renteria.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2022
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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