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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107201451
Report Date: 02/21/2025
Date Signed: 02/21/2025 10:07:44 AM

Document Has Been Signed on 02/21/2025 10:07 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 RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:CHRISTINA'S CARE HOME IIFACILITY NUMBER:
107201451
ADMINISTRATOR/
DIRECTOR:		STEPHEN, RAVIFACILITY TYPE:
740
ADDRESS:1910 INDIANAPOLIS AVENUETELEPHONE:
(559) 347-9900
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
02/21/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Administrator: Shannon SteeleTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 2/21/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced for a case management visit regarding a Default Decision and Order for Staff 1 (S1). LPA met with Staff (S1) Marcos Garcia. Administrator Shannon Steele was called and arrived shortly and verified Rommel Cortez is not employed. LPA conducted visit to verify an individual that no longer has a criminal record clearance is working at the facility.

LPA was informed by Administrator that Staff member is not employed at the facility and no longer associated with the facility.

Exit interview was conducted. A copy of this report was provided to A1, whose signature confirms receipt of this report.
See MouaTELEPHONE: (559) 580-4596
Jacques LeffallTELEPHONE: 559-243-8080
DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
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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