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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206890
Report Date: 03/09/2022
Date Signed: 03/09/2022 04:31:42 PM


Document Has Been Signed on 03/09/2022 04:31 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:HAND IN HANDFACILITY NUMBER:
107206890
ADMINISTRATOR:SANDONE, RONALDFACILITY TYPE:
740
ADDRESS:701 E. VARTIKIANTELEPHONE:
(559) 840-1013
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY:6CENSUS: 0DATE:
03/09/2022
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
04:18 PM
MET WITH:Ronald Sandone, Administrator TIME COMPLETED:
04:35 PM
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Licensing Program Analyst (LPA) L. Cabrera arrived for a case management - other inspection regarding a closure. The CCL Office received notice that the facility is closing. All residents have been relocated. LPA met with Administrator Ronald Sandone and Yolanda Castigador and conducted a tour of the facility. There are no residents present. LPA observed the facility to be empty and observed the for sale sign in the front yard. Administrator will drop off the facility license at CCL on 03/10/22 before 3p.m.

Closure inspection is complete. Exit Interview was conducted.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2022
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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