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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801167
Report Date: 09/19/2022
Date Signed: 09/19/2022 12:48:03 PM

Document Has Been Signed on 09/19/2022 12:48 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CCGI LEARNING CENTER AND CHILD CARE PROGRAMFACILITY NUMBER:
543801167
ADMINISTRATOR:JOHNSON, AMIFACILITY TYPE:
850
ADDRESS:9514 W. PERSHING AVENUETELEPHONE:
(559) 651-2244
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 12DATE:
09/19/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Ami JohnsonTIME COMPLETED:
12:30 PM
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On September 19, 2022 Licensing Program Analyst (LPA) Kari McWilliams conducted an unannounced annual inspection on the School Age license and met with Director Ami Johnson. Director Ami Johnson stated that the facility is wishing to close the school age license and use the space for the daycare license as an arts and crafts area. Director stated that the owner may want to increase capacity at a later time.
LPA McWilliams advised Director Johnson that a increase of capacity application would have to be filled out prior to increasing the capacity.

LPA McWilliams conducted an inspection of the classroom area and observed that the school age furniture has been removed and the tables and chairs are size appropriate for children 2 years to five years. There is appropriate toys for preschool children. LPA McWilliams observed no hazards to be present.

LPA McWilliams obtained a updated facility report for the space and informed Director Johnson that her capacity has not changed.

Exit interview conducted and report was reviewed with the facility representative Director Ami Johnson.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.




This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2022
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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