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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547209067
Report Date: 07/28/2022
Date Signed: 07/28/2022 09:06:07 AM


Document Has Been Signed on 07/28/2022 09:06 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:RONO GARDENSFACILITY NUMBER:
547209067
ADMINISTRATOR:FLORENTINO, MARKFACILITY TYPE:
740
ADDRESS:2547 N RONO STREETTELEPHONE:
(626) 278-8371
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:6CENSUS: 0DATE:
07/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:24 AM
MET WITH:Licensee Analisa FlorentinoTIME COMPLETED:
09:15 AM
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Licensing Program Analyst LPA Shawna Doucette conducted an announced Case Management for a facility closure. LPA met with Licensee Analisa Florentino.

LPA gained possession of the facility license.


An exit interview was conducted and a copy of this report was provided.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Shawna DoucetteTELEPHONE: (559) 580-4595
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2022
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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