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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206900
Report Date: 03/24/2022
Date Signed: 03/24/2022 11:43:59 AM


Document Has Been Signed on 03/24/2022 11:43 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
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: 0DATE:
03/24/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Dean MurphyTIME COMPLETED:
11:55 AM
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LPA Katie Brown arrived at the facility as scheduled. LPA met with Administrator (AD) Dean Murphy.

LPA and AD toured the facility inside and out. There are no residents in care.

Per AD, on 2/28/22 the 4 residents were removed and relocated from the facility by Fresno County Conservator’s Office. AD initiated facility closure and forfeited the facility license to CCLD.





A copy of this report was provided and an exit interview was conducted with Dean Murphy.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Katie BrownTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2022
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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