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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209064
Report Date: 12/13/2022
Date Signed: 12/13/2022 12:22:18 PM

Document Has Been Signed on 12/13/2022 12:22 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:RICHARDS RANCH LIVINGFACILITY NUMBER:
157209064
ADMINISTRATOR:RICHARD, LESLIEFACILITY TYPE:
735
ADDRESS:16732 PALM AVETELEPHONE:
(661) 587-4565
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93314
CAPACITY: 6CENSUS: DATE:
12/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:58 AM
MET WITH:TIME COMPLETED:
12:23 PM
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On 12/13/2022, Licensing Program Analyst (LPA) Walton attempted to conduct an unannounced annual inspection. LPA knocked on the door and rang the doorbell and did not receive a response. LPA contacted the facility number on file and was unable to leave a message.

LPA waited approximately 20 minutes for facility staff to arrive.

LPA will return at a later date to conduct this inspection.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE: DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2022
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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