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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801168
Report Date: 09/19/2022
Date Signed: 09/19/2022 12:50:22 PM


Document Has Been Signed on 09/19/2022 12:50 PM - 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:CCGI LEARNING CENTER AND CHILD CARE PROGRAMFACILITY NUMBER:
543801168
ADMINISTRATOR:JOHNSON, AMIFACILITY TYPE:
840
ADDRESS:9514 W. PERSHING AVENUETELEPHONE:
(559) 651-2244
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:14CENSUS: 0DATE:
09/19/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Ami JohnsonTIME COMPLETED:
01:00 PM
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On September 19, 2022 Licensing Program Analyst (LPA) Kari McWilliams attempted to conduct an unannounced annual inspection for the school age license. LPA McWilliams met with Director Ami Johnson who informed LPA McWilliams that they wish to close the school age license. Director Johnson stated that there are no children currently enrolled in the program.

LPA McWilliams observed no school age children present in the facility. Director Johnson wrote a letter stating the intent to close the license and that she understands that they are no longer to provide care and supervision to school age children. Director Johnson gave LPA McWilliams the school age license.

Exit interview conducted and report was reviewed with the facility representative Director Ami Johnson.


Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request.
SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Kari McWilliamsTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2022
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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