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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209310
Report Date: 06/26/2024
Date Signed: 06/26/2024 04:35:27 PM

Document Has Been Signed on 06/26/2024 04:35 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:AMFC DAY PROGRAM INCFACILITY NUMBER:
157209310
ADMINISTRATOR/
DIRECTOR:		ALLISON-MORGAN, TORIFACILITY TYPE:
775
ADDRESS:7825 CALIFORNIA BLVDTELEPHONE:
(661) 717-7628
CITY:CALIFORNIA CITYSTATE: CAZIP CODE:
93505
CAPACITY: 20CENSUS: 0DATE:
06/26/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Program Director Tori Allison-MorganTIME VISIT/
INSPECTION COMPLETED:
09:30 AM
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Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Program Director Tori Allison-Morgan. LPA disclosed the purpose of the inspection and was granted entry into the facility by Program Director Tori Allison-Morgan.

A tour of the facility was conducted. Facility is not currently operating. Facility has not yet retained clients and is waiting for approval for transportation to begin operation. The facility was set at 72 F temperature and free of passageway obstructions inside and outside. The water temperature was measured at 105 F.

Cleaning supplies were in a locked storage container in the office. Smoke detectors and carbon monoxide detectors were checked and operating.

An exit interview was conducted with the Program Director and a copy of this report was provided.

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2024
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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