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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 275294335
Report Date: 05/25/2023
Date Signed: 07/21/2023 09:57:53 AM


Document Has Been Signed on 07/21/2023 09:57 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
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710



FACILITY NAME:AVE MARIA RCFE #1FACILITY NUMBER:
275294335
ADMINISTRATOR:BARBARA REIDFACILITY TYPE:
740
ADDRESS:1249 JOSSELYN CANYON ROADTELEPHONE:
(831) 373-1216
CITY:MONTEREYSTATE: CAZIP CODE:
93940
CAPACITY:49; 49CENSUS: 0DATE:
05/25/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Facility Administrator, Susan Maier TIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Sarah Hurt arrived at the facility and met with Susan Maier. Susan Maier gave notice to Licensing of intention of facilities to cease operation on October 31, 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 both buildings, and all common areas.

LPA conducted a final tour with Facility Administrator Susan Maier and confirmed that there are no residents in the facility. Closure inspection is complete.

Report signed on site by facility representative Susan Maier.

Facility closure will be processed upon LPA’s Hurt 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: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2023
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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