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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
366405698
Report Date:
08/15/2024
Date Signed:
08/15/2024 10:50:22 AM
Document Has Been Signed on
08/15/2024 10:50 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
SAN BERNARDINO
,
1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE
,
CA
92507
FACILITY NAME:
INNOVATIVE BUSINESS PARTNERSHIPS, INC.
FACILITY NUMBER:
366405698
ADMINISTRATOR/
DIRECTOR:
THERESE M. KRAGNESS
FACILITY TYPE:
775
ADDRESS:
17191 JASMINE STREET
TELEPHONE:
(760) 243-1400
CITY:
VICTORVILLE
STATE:
CA
ZIP CODE:
92307
CAPACITY:
90
CENSUS:
25
DATE:
08/15/2024
TYPE OF VISIT:
Case Management - Annual Continuation
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
10:44 AM
MET WITH:
Therese M Kragness and Frances Felix
TIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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SUPERVISORS NAME
:
Efren Malagon
LICENSING EVALUATOR NAME
:
Mary Rico
LICENSING EVALUATOR SIGNATURE
:
DATE:
08/15/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
08/15/2024
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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