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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547208783
Report Date: 12/19/2023
Date Signed: 12/19/2023 12:52:10 PM

Document Has Been Signed on 12/19/2023 12:52 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:FRONTIER IN THE WESTFACILITY NUMBER:
547208783
ADMINISTRATOR:MARTINEZ, ARGELIAFACILITY TYPE:
737
ADDRESS:32083 MANOTA CTTELEPHONE:
(559) 735-9564
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 4CENSUS: 4DATE:
12/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Argelia MartinezTIME COMPLETED:
01:26 PM
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LPA, L. Xiong was at the above facility to follow-up on the facility's semi-annual review with the Regional Center. During the visit, LPA toured the facility and spoke to the Administrator regarding the issues of the review.

No deficiency cited during this visit.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Les Xiong
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2023
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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