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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503909987
Report Date: 10/30/2019
Date Signed: 10/30/2019 11:55:49 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:BETASHOOR, RADA FAMILY CHILD CAREFACILITY NUMBER:
503909987
ADMINISTRATOR:BETASHOOR, RADAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 485-1598
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:14CENSUS: 10DATE:
10/30/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Rada BetashoorTIME COMPLETED:
12:10 PM
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On this date, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced case management inspection. LPA met with Licensee Rada Betashoor and took a census. The purpose of today's inspection was to meet with Licensee to discuss some questions Licensee had.

LPA toured the facility and answered questions that Licensee had. LPA reviewed children's records during today's inspection.

No deficiencies were cited in the areas observed today.

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

DATE: 10/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2019
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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