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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406030
Report Date: 02/21/2024
Date Signed: 02/21/2024 06:03:07 PM

Document Has Been Signed on 02/21/2024 06:03 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, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:UNITED CEREBRAL PALSY OF CENTRAL CA, INC-ADULT PRFACILITY NUMBER:
100406030
ADMINISTRATOR:CUNNINGHAM, KELLYFACILITY TYPE:
775
ADDRESS:4224 N. CEDAR AVE.TELEPHONE:
(559) 221-8272
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 120CENSUS: 120DATE:
02/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Director of Adult Program Services (Dir)Kelly CunninghamTIME COMPLETED:
06:15 PM
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An Annual visit was conducted by Licensing Program Analyst (LPA) K. McClurg. LPA met with Director of Adult Program Services (Dir) Kelly Cunningham. LPA stated purpose of visit & was allowed to proceed.

Physical plant toured. Classrooms sufficiently furnished with adequate lighting. Passageways, including hallways, interior & exterior observed to be clear of obstructions.
Sufficient supplies for available for activities. Students have their own lockers. There are sufficient restrooms available. Quiet room available. Hot water measured at 120 degrees F. Facility appeared to be clean with no unpleasant odors. Sufficient supplies of PPE. Medications Centrally Stored in a locked area inaccessible to students.

Smoke detectors operational. Carbon Monoxide Detectors operational. Fire extinguisher service date: 3/9/23.

Visit to continue @ a later date.

Exit interview conducted with Dir. Report provided.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Kelly J. McClurg
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2024
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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