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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503908458
Report Date: 06/30/2020
Date Signed: 06/30/2020 11:13:53 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:MOEBIUS, MISTY FAMILY CHILD CAREFACILITY NUMBER:
503908458
ADMINISTRATOR:MOEBIUS, MISTYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 345-9814
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY:14CENSUS: 4DATE:
06/30/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Misty MoebiusTIME COMPLETED:
12:00 PM
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LPA Claudia Henley conducted a case management visit. LPA met with licensee and her spouse. The purpose of today's visit was to inspect the fencing surrounding the in-ground swimming pool. The fencing surrounding the swimming pool is wrought iron fencing. LPA measured the fence areas. There was one wrought iron panel that was 4.5 inches tall instead of 5 feet. Licensee stated she will either lift up that panel higher to the 5 foot level or add more wrought iron to the top. The wrought iron fencing sat upon concrete and dirt. The three gates surrounding the pool swings away from the pool and self-closes and latches. An updated outdoor facility sketch was received today.

Licensee has 30 days from today's date, August 1, 2020, to correct the one large wrought iron fence panel. LPA will return back to inspect the pool fencing once completed.

No deficiencies were cited during today's visit.

Site Visit Notice posted. Exit interview was conducted.

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2020
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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