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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157201351
Report Date: 12/18/2024
Date Signed: 12/18/2024 10:52:09 AM

Document Has Been Signed on 12/18/2024 10:52 AM - 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:HOLDEN WAY HOMEFACILITY NUMBER:
157201351
ADMINISTRATOR/
DIRECTOR:		GLENN, RHONDAFACILITY TYPE:
735
ADDRESS:2201 HOLDEN WAYTELEPHONE:
(661) 832-3006
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93304
CAPACITY: 6CENSUS: DATE:
12/18/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Jerry Manda, Licensee Representative
Rhonda Glenn, Administrator
Cheryl McCraw, Administrator
Pamela Williams, Administrator		TIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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An informal meeting was held on 12/18/2024 at the Fresno Regional Office. The purpose of the informal meeting was to discuss recently identified issues/concerns associated with the existing fire clearance due to modifications of the facility. The informal meeting process was explained during this meeting.

The following were in attendance:
Jerry Manda, Licensee Representative
Rhonda Glenn, Administrator
Cheryl McCraw, Administrator
Pamela Williams, Administrator
Brenda White, Regional Manager
Sergiy Pidgirny, Licensing Program Manager
Shawna Doucette, Licensing Program Analyst

The following concerns were addressed:
Fire clearance due to modifications of the facility
Licensee was provided with copies of all applicable regulations and/or Health and Safety Code and a copy of this report.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
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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