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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911794
Report Date: 10/14/2024
Date Signed: 10/14/2024 11:13:43 AM

Document Has Been Signed on 10/14/2024 11:13 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:MCPHETRIDGE, CONCEPCION & STEVEN FCCFACILITY NUMBER:
543911794
ADMINISTRATOR/
DIRECTOR:		MCPHETRIDGE,CONCEPCION/STEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 556-4863
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
10/14/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Concepcion & Steven TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 10/14/2024, Licensing Program Analyst (LPA) Behatriz Gonzalez arrived at the facility met with Licensees Concepcion and Steven to do an unannounced Case Management . No day care children present during the visit, due to it being closed till January.

During the visit licensees signed the Payment plan.

SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Behatriz Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 10/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/14/2024
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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