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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100403504
Report Date: 05/19/2022
Date Signed: 05/19/2022 03:53:07 PM

Document Has Been Signed on 05/19/2022 03:53 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FIRST CHURCH OF GOD EARLY ENRICHMENT CENTERFACILITY NUMBER:
100403504
ADMINISTRATOR:ANTARAMIAN LISAFACILITY TYPE:
850
ADDRESS:3920 NORTH FIRST STREETTELEPHONE:
(559) 227-3222
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: DATE:
05/19/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Lisa AntaramianTIME COMPLETED:
04:15 PM
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On May 19, 2022, Licensing Program Analyst (LPA) conducted an announced case management inspection for the preschool program. LPA met with director, Lisa Antaramian.

During today's inspection, LPA inspected classroom #4. This classroom will accommodate 13 preschool children. The furniture is anchored or is unable to tip over.

There is bathroom in the classroom with one toilet and one sink which will accommodate the requested capacity of 13 preschool children.

Room and outside play area measurement were taken during previous inspections.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 13 preschool children for classroom #4..



To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2022
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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