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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503909987
Report Date: 05/15/2019
Date Signed: 05/15/2019 02:09:21 PM

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:BETASHOOR, RADA FAMILY CHILD CAREFACILITY NUMBER:
503909987
ADMINISTRATOR:BETASHOOR, RADAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 485-1598
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:14CENSUS: 7DATE:
05/15/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Rada BetashoorTIME COMPLETED:
02:15 PM
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On this date, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced case management - other inspection. LPA was greeted by Licensee Rada Betashoor. Present during today's inspection were seven children.

Licensee stated there are firearms and ammunition in the home. LPA observed the firearms and ammunition are stored per Title 22 regulation.

Proper supervision is being provided during today's inspection and capacity as specified on the license is being maintained. A copy of the current roster of children was obtained.

No deficiencies cited in the areas observed today. This report shall be made available to the public upon request.

LIC 9213 Notice of Site Visit to be posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
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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