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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808290
Report Date: 10/18/2022
Date Signed: 10/18/2022 02:28:44 PM

Document Has Been Signed on 10/18/2022 02:28 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHILDREN'S CRISIS CENTER-VERDA'S HOUSEFACILITY NUMBER:
503808290
ADMINISTRATOR:GARCIA,COLLEENFACILITY TYPE:
830
ADDRESS:715 E. MAIN STREETTELEPHONE:
(209) 656-7783
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY: 4TOTAL ENROLLED CHILDREN: 4CENSUS: 2DATE:
10/18/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Rosa Silvia BorbaTIME COMPLETED:
03:00 PM
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On 10/18/22 an unannounced case management visit was conducted today by Licensing Program Analyst (LPA) Caroline Harris. LPA met with Site Supervisor, Rosa Silvia Borba and a census was taken.

The purpose for this report, is to address staff and children's files not being available within 30 minutes of the LPA requesting them. Upon arrival at the site, the LPA requested staff and children's files. All staff and children's files are kept at the main office, Sawyer House. Files arrived approximately an hour after being requested. The LPA and Site Supervisor, Rosa Silvia Borba and Assistant Director, Brenda Mc Donald discussed ways of making files more available for review and upon request.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies are being cited. An exit interview was conducted with Rosa Silvia Borba. A printed copy of this report was provided to Mrs. Silvia Borba at the conclusion of the visit.

Notice of Site Visit is to be posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2022
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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