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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808825
Report Date: 03/06/2025
Date Signed: 03/06/2025 02:58:06 PM

Document Has Been Signed on 03/06/2025 02:58 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RUBEN J. BLUNT CDCFACILITY NUMBER:
153808825
ADMINISTRATOR/
DIRECTOR:		GONZALEZ, MARGARITAFACILITY TYPE:
850
ADDRESS:8505 SUNSET BOULEVARDTELEPHONE:
(661) 845-1130
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 16DATE:
03/06/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Margarita GonzalezTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 03/06/2025, Licensing Program Analyst (LPA) Octavia Nolan conducted an unannounced case management inspection and met with Director, Margarita Gonzalez.

During today’s inspection, LPA reviewed what are considered unusual incidents and reporting requirements with the director. LPA also provided Director Margarita Gonzalez a copy of California Code of Regulations (CCR) 101212 Reporting Requirements.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiency is being cited.

Appeal Rights were provided. A notice of site visit (LIC 9213) was given and must remain posted for 30 days. This report shall be made available to the public upon request. Exit interview conducted and report was reviewed.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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