Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543910503
Report Date: 12/11/2018
Date Signed: 12/13/2018 03:22:57 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MCPHETRIDGE, CONCEPCION FAMILY CHILD CAREFACILITY NUMBER:
543910503
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
12/11/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Concepcion McphtridgeTIME COMPLETED:
03:35 PM
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An unannounced case management inspection was made at this Family Child
Care Home by LPA Patricia Musso today.

This Case Management inspection is being conducted for the assigned LPA, Musso, to introduce herself to licensee and see if licensee had any questions
since being licensed at this home.

During today's inspection, licensee informed LPA that she has 7 children enrolled.

Licensee informed LPA and had questions for LPA to become a large day care.
LPA and licensee went over the requirements of forms and fire inspecition of becoming a large family child care home.


No Title 22 deficiencies are cited during this inspection.

During the exit interview, LPA viewed the LIC9213 being posted and left instructions that it needs to be posted for 30 days.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Patricia MussoTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2018
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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