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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157201145
Report Date: 02/15/2023
Date Signed: 02/28/2023 02:24:27 PM


Document Has Been Signed on 02/28/2023 02:24 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710



FACILITY NAME:WHISPERING PINESFACILITY NUMBER:
157201145
ADMINISTRATOR:DATINGUINOO, LUZMINDAFACILITY TYPE:
740
ADDRESS:5711 HESKETH DRIVETELEPHONE:
(661) 861-1779
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:6CENSUS: 0DATE:
02/15/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:Property Owner, Meriam ReyesTIME COMPLETED:
09:13 AM
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Licensing Program Analyst (LPA) Darius Williams conducted a visit due to facility closure.

LPA Williams toured the residence with Property Owner, Meriam Reyes.

LPA Williams observed the residence to be empty. There were no residents or furniture in the building.

An exit interview was conducted and a copy of this report will be provided via e-mail.
SUPERVISOR'S NAME: Serigy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Darius WilliamsTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/15/2023
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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