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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808850
Report Date: 10/04/2023
Date Signed: 10/04/2023 11:09:08 AM

Document Has Been Signed on 10/04/2023 11:09 AM - 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:STARTING BLOCKS CHILDREN'S ACADEMYFACILITY NUMBER:
103808850
ADMINISTRATOR:APRIL COXFACILITY TYPE:
850
ADDRESS:3315 E SIERRA MADRETELEPHONE:
(559) 227-7036
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 39TOTAL ENROLLED CHILDREN: 39CENSUS: 0DATE:
10/04/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Tobias BrookinsTIME COMPLETED:
11:00 AM
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On 10/04/2023, at 10:00 a.m., a Non-Compliance Conference (NCC) was conducted at the Fresno Regional Child Care Office to discuss violations of Title 22 regulations.

In attendance at this office visit were CEO, Tobias Brookins and Finance Director, Donna Grigsby, Regional Manager Rebecca Varela, Licensing Program Manager Juvenal Moctezuma, and Licensing Program Analyst Stephanie Vega-Gonzalez.

During today's office visit, a copy of the NCC and LIC 9224 (Acknowledgement of Receipt of Licensing Reports) were provided to Licensee.

Per California Code of Regulations Title 22, Division 12, Chapter 1 no deficiency cited during today's office visit. Exit interview conducted with CEO, Tobias Brookins and Finance Director, Donna Grigsby.

A copy of this report is to remain in the facility for public review. This report shall be made available to the public upon request.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023
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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