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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209382
Report Date: 02/22/2024
Date Signed: 02/22/2024 10:35:04 AM

Document Has Been Signed on 02/22/2024 10:35 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:TRANSITION TRAINING PROGRAM, LLCFACILITY NUMBER:
157209382
ADMINISTRATOR:HERNANDEZ, KARINAFACILITY TYPE:
775
ADDRESS:3940 SAN DIMASTELEPHONE:
(661) 599-2882
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY: 75CENSUS: 45DATE:
02/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Administrator, Karina HernandezTIME COMPLETED:
10:40 AM
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On 02/22/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct a case management inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Karina Hernandez.

The purpose of the visit is to verify that S1 is no longer working in the facility. Per Administrator, S1 "never started working" and has not worked in the facility.

No deficiencies issued.

Exit interview conducted. A copy of this report was discussed and provided to Administrator, Karina Hernandez whose signature on this form confirms receipt of this document.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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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