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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
157208865
Report Date:
07/13/2022
Date Signed:
07/13/2022 01:55:05 PM
Document Has Been Signed on
07/13/2022 01:55 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:
ENDLESS POSSIBILITIES SERVICES INC
FACILITY NUMBER:
157208865
ADMINISTRATOR:
HOWARD, PATRICK
FACILITY TYPE:
735
ADDRESS:
8416 ANDROMEDA LANE
TELEPHONE:
(661) 404-4557
CITY:
BAKERSFIELD
STATE:
CA
ZIP CODE:
93306
CAPACITY:
4
CENSUS:
3
DATE:
07/13/2022
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
01:15 PM
MET WITH:
Valeria Medina
TIME COMPLETED:
02:16 PM
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LPA was at the above facility to complete the facility's annual inspection since there was equipment malfunction at the time of the visit.
SUPERVISORS NAME
:
Sergiy Pidgirny
LICENSING EVALUATOR NAME
:
Les Xiong
LICENSING EVALUATOR SIGNATURE
:
DATE:
07/13/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
07/13/2022
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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