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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209320
Report Date: 04/06/2023
Date Signed: 04/07/2023 01:32:51 PM

Document Has Been Signed on 04/07/2023 01:32 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:CENTER STREET BOARD AND CAREFACILITY NUMBER:
157209320
ADMINISTRATOR:WALKER, FELLINIFACILITY TYPE:
735
ADDRESS:2431 CENTER STTELEPHONE:
(415) 810-0145
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY: 22CENSUS: 17DATE:
04/06/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Licensee, Anthony BarbatoTIME COMPLETED:
10:03 AM
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Licensing Program Analyst (LPA) Darius Williams conducted a follow up pre-licensing visit. LPA Williams met with Licensee Anthony Barbato and discussed the purpose of the visit.

LPA Williams toured the facility and observed the fixes requested from the initial pre-licensing inspection on 3/29/2023. LPA Williams observed all items requested, to be in satisfactory condition.

Component III was reviewed and completed on 3/29/2023.

This report will be forwarded to the Central Application Bureau for further review.

An exit interview was conducted and a copy of this report will be provided via e-mail.
SUPERVISORS NAME: Serigy Pidgirny
LICENSING EVALUATOR NAME: Darius Williams
LICENSING EVALUATOR SIGNATURE: DATE: 04/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/06/2023
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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