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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
547206782
Report Date:
08/15/2024
Date Signed:
08/15/2024 01:32:39 PM
Document Has Been Signed on
08/15/2024 01:32 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 RO
,
1314 E SHAW AVE
FRESNO
,
CA
93710
FACILITY NAME:
EMPLOY AMERICA
FACILITY NUMBER:
547206782
ADMINISTRATOR/
DIRECTOR:
DANIELLE, BELTRAN
FACILITY TYPE:
775
ADDRESS:
340 N. FOURTH ST
TELEPHONE:
(559) 443-7119
CITY:
PORTERVILLE
STATE:
CA
ZIP CODE:
93257
CAPACITY:
90
CENSUS:
DATE:
08/15/2024
TYPE OF VISIT:
Collateral
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
12:44 PM
MET WITH:
Stephanie Ramirez
TIME VISIT/
INSPECTION COMPLETED:
01:50 PM
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LPA, L. Xiong was at the above facility for a collateral visit regarding complaint #24-AS-20240814093419. During the visit, interviews and records were conducted and obtained.
SUPERVISORS NAME
:
Melinda Hoffmann
LICENSING EVALUATOR NAME
:
Les Xiong
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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