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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810030
Report Date: 04/17/2024
Date Signed: 04/17/2024 12:11:04 PM

Document Has Been Signed on 04/17/2024 12:11 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:BROADWAY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153810030
ADMINISTRATOR/
DIRECTOR:		MARY ANN MOONEYFACILITY TYPE:
850
ADDRESS:929 BROADWAY AVETELEPHONE:
(661) 336-5236
CITY:WASCOSTATE: CAZIP CODE:
93280
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 0DATE:
04/17/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Rosa RabagoTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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On 04/17/2024, Licensing Program Analyst (LPA) Lady Cabrera conducted an unannounced case management inspection to amend report, LIC 9099 dated 03/08/2024.

LPA met with Rosa Rabago, Site Supervisor and discussed amended report. No children were present on today's date. LPA and Rosa Rabago 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: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2024
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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