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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547204156
Report Date: 06/14/2022
Date Signed: 06/15/2022 11:37:12 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/15/2022 11:37 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:LINDSAY SERVICE CENTERFACILITY NUMBER:
547204156
ADMINISTRATOR:ESMERALDA GAITHERFACILITY TYPE:
775
ADDRESS:911 PARKSIDE AVENUETELEPHONE:
(559) 562-2713
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY: 45CENSUS: 0DATE:
06/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Administrator Esmeralda GaitherTIME COMPLETED:
11:45 AM
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Licensing Program Analyst LPA Shawna Doucette attempted to conduct an Annual Inspection on this date. LPA spoke to Administrator Esmeralda Gaither who stating the facility is currently closed and operating solely through zoom. Administrator Esmeralda Gaither advised she would contact CCLD when the facility resumes to in person instruction.


An exit interview was conducted with Administrator Esmeralda Gaither via phone and a copy of this report was provided via email.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2022
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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