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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206752
Report Date: 11/25/2020
Date Signed: 12/03/2020 02:15:36 PM

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:DIAL FOR CAREFACILITY NUMBER:
107206752
ADMINISTRATOR:SHAMEKA TURNERFACILITY TYPE:
740
ADDRESS:1594 E. LOS ALTOSTELEPHONE:
(559) 704-6467
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY:6CENSUS: 6DATE:
11/25/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:43 AM
MET WITH:Amanda Chairez, Acting AdministratorTIME COMPLETED:
09:10 AM
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Licensing Program Analyst (LPA) Lady Cabrera contacted the facility via telephone to commence a case management via telephone due to COVID-19 and pre-cautionary measures.

The purpose of the call was to follow-up on an Immediate Action Required issued for Staff (S1) issued by CBCB dated 11/24/2020. Acting Administrator Amanda Chairez reported S1 was hired on 11/23/2020, however, S1 did not show for work on 11/23/2020 and 11/24/2020.



LPA faxed Acting Administrator S1’s Immediate Action Required and Exemption Denial packets. LPA consulted with Acting Administrator regarding timeline for Confirmation of Removal. Acting Administrator will forward the packets to Licensee Merida Daly, licensee is required to submit a Confirmation of Removal within 5 days.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2020
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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