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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547209317
Report Date: 03/04/2025
Date Signed: 03/04/2025 01:14:56 PM

Document Has Been Signed on 03/04/2025 01:14 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:LIFE SKILLS LEARNING CENTERFACILITY NUMBER:
547209317
ADMINISTRATOR/
DIRECTOR:		STUMP, KEITHFACILITY TYPE:
775
ADDRESS:2505 N SHIRKTELEPHONE:
(559) 651-8150
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 76CENSUS: 33DATE:
03/04/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Mark MichaelianTIME VISIT/
INSPECTION COMPLETED:
01:46 PM
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Today, Licensing Program Analyst L. Xiong arrived at the facility unannounced to conduct an Annual inspection. LPA met Director of Program Services, Mark Michaelian and informed him the purpose of the visit.

LPA toured the facility with staff. Facility appeared clean with no obstruction or fire clearance issues. All common areas have adequate seating and lighting. Resident bedrooms toured, rooms observed to have all required accommodations.

Smoke detector and carbon monoxide detectors observed operational during inspection. Fire extinguisher present with a service date of 010/2024. Water temperature observed to measure at 105 degrees F.

No deficiencies were observed.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Les Xiong
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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