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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801097
Report Date: 09/13/2024
Date Signed: 09/13/2024 12:59:39 PM

Document Has Been Signed on 09/13/2024 12:59 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
153801097
ADMINISTRATOR/
DIRECTOR:		MORENO, MARY ANNFACILITY TYPE:
830
ADDRESS:9903 CAMINO MEDIATELEPHONE:
(661) 665-7790
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 13DATE:
09/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Mary Ann MorenoTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 09/13/2024, Licensing Program Analyst (LPA) Lady Cabrera conducted an unannounced case management inspection to amend report, LIC 9099 dated 08/22/2024.

LPA met with Director Mary Ann Moreno and discussed amended report. LPA and Mary Ann Moreno signed the amended report.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2024
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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