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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107201320
Report Date: 04/29/2022
Date Signed: 05/02/2022 04:43:37 PM


Document Has Been Signed on 05/02/2022 04:43 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:
04/29/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Trisha PinheiroTIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Katie Brown arrived at the facility to conduct the Case Management visit regarding facility closure. LPA met with Administrator (AD) Trisha Pinheiro.

LPA toured the facility inside and out with AD. LPA has confirmed there are no residents at the facility or in care.

AD forfeited and provided the facility license to the LPA during the visit.





A copy of this report was provided via email to trpinheiro@yahoo.com and an exit interview conducted with Trisha Pinheiro
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Katie BrownTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/29/2022
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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