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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107201320
Report Date: 04/19/2022
Date Signed: 04/19/2022 02:12:41 PM


Document Has Been Signed on 04/19/2022 02:12 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:PRYOR FALLS, INC.FACILITY NUMBER:
107201320
ADMINISTRATOR:PINHEIRO, TRISHAFACILITY TYPE:
740
ADDRESS:2551 EAST PRYOR DRIVETELEPHONE:
(559) 297-8930
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY:6CENSUS: DATE:
04/19/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:46 PM
MET WITH:TIME COMPLETED:
02:08 PM
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On 04/19/2022, Licensing Program Analyst (LPA) arrived unannounced at the above facility. LPA attempted to conduct an Annual Inspection-Infection control. LPA knocked on the door and rang the doorbell, there was no response. LPA attempted to contact the Administrator via telephone and did not receive a response. LPA's contact information was left at the facility entrance. LPA will return at a later date to conduct the inspection.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 650-7914
LICENSING EVALUATOR NAME: Alexandria WaltonTELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:
DATE: 04/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/19/2022
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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