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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206900
Report Date: 12/13/2021
Date Signed: 12/13/2021 11:14:52 AM

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:RATANAKONE HOMEFACILITY NUMBER:
107206900
ADMINISTRATOR:RATANAKONE, KEVINFACILITY TYPE:
740
ADDRESS:2220 N. PROSPECTTELEPHONE:
(559) 287-6366
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:6CENSUS: 4DATE:
12/13/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Dean MurphyTIME COMPLETED:
10:45 AM
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LPA Katie Brown and LPM Sergiy Pidgirny met at the Fresno Regional Office with Administrator Dean Murphy. The office meeting was requested by Administrator to discuss the process for facility closure.

During the meeting, Administrator stated that he is ready to retire and intends to close the facility. LPA received a written statement today via email.

LPA Pidgirny explained the procedure for facility closure, including the 60 day eviction notification procedure. LPM reminded Administrator that he is required to provide care and supervision of the residents until new placement is found and the residents are physically relocated.

LPA provided a copy of RCFE regulation 87224 Eviction Procedure.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Katie BrownTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021
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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