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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209200
Report Date: 01/11/2024
Date Signed: 01/11/2024 02:16:47 PM

Document Has Been Signed on 01/11/2024 02:16 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:ABLELIGHT, INC. -GATEWAYFACILITY NUMBER:
107209200
ADMINISTRATOR:WARD, ROSALINDFACILITY TYPE:
735
ADDRESS:587 GATEWAY AVETELEPHONE:
(559) 322-9183
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY: 4CENSUS: 3DATE:
01/11/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Rosalind WardTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA), Miriam Flores arrived unannounced to the facility to conduct a Case Management Visit. LPA introduced self, stated the purpose of the visit and requested to meet with Administrator, Rosalind Ward.

This case management visit is to follow up on self reported incidents to Community Care Licensing (CCL). Special Incident Reports (SIR) are dated 12/08/23, 12/09/23, 12/13/23, 12/16/23 for R1. File review and interviews were completed during this announced visit.

An LIC9102 Technical Assistance was provided for Eviction Procedures.

An exit interview was completed with Administrator, Rosalind Ward.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Miriam Flores
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2024
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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