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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808357
Report Date: 11/21/2024
Date Signed: 11/21/2024 11:14:48 AM

Document Has Been Signed on 11/21/2024 11:14 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
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:HEIR FORCE ACADEMYFACILITY NUMBER:
153808357
ADMINISTRATOR/
DIRECTOR:		RASH, BILLY J.FACILITY TYPE:
850
ADDRESS:4755 GOSFORD ROADTELEPHONE:
(661) 664-1066
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 23DATE:
11/21/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Shelby RashTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 11/21/2024, Licensing Program Analyst (LPA) Christopher Burnias went to the facility to deliver an amended report related to a Case Management Inspection conducted on 11/15/2024. LPA met with Director, Shelby Rash, toured the facility and took a census.

LPA reviewed reports with Director, Shelby Rash and provided appeal rights, and a Notice of Site Visit.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

Luisa GavoutianTELEPHONE: (559) 650-7879
Christopher BurniasTELEPHONE: 559-243-4588
DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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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