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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 167202502
Report Date: 09/16/2023
Date Signed: 04/11/2024 12:38:46 PM


Document Has Been Signed on 04/11/2024 12:38 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
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710



FACILITY NAME:HANNA'S HOME CAREFACILITY NUMBER:
167202502
ADMINISTRATOR:FELLEKE, HANNAFACILITY TYPE:
740
ADDRESS:2427 CHERRYWOOD CT.TELEPHONE:
(559) 583-6880
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:6CENSUS: 0DATE:
09/16/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Licensee Hanna FellekeTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Sarah Hurt arrived at the facility and met with Licensee Hanna Felleke. Hannah Felleke gave notice to Licensing of intention of facilities to cease operation in September 2022.

The purpose of the inspection is for a voluntary closure. The purpose of today’s inspection is to follow up on the facility’s closure and surrendering of license. LPA toured facility, and observed no residents in any of the bedrooms, and rooms are completely empty. LPA Hurt toured all 4 bedrooms, garage, outdoor areas, and all common areas.

LPA conducted a final tour with Facility Licensee Hanna Felleke and confirmed that there are no residents in the facility. Closure inspection is complete.

Report signed on site by facility Licensee Hanna Felleke.

LPA Hurt collected the License and will place in facility file.

Facility closure will be processed upon LPA Hurts return to the office.

No Deficiencies Cited Per Title 22 Regulations, and a copy of this report provided.

SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 09/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/16/2023
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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