HomeMy WebLinkAboutBUSINESS PLANMIRACLE OF HOPE GUEST HOME LLC
3608 PASEO AIROSA ,,._~
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AP No. ~~ FIRE PREVENTION SERVICES
(661) 326-3979
WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK•FILE
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Bakersfield Fire Dept.
1715 Chester Ave.
Bakersf field, CA 93301
FD1952
S•r•ATE OF-C%:'.iFORNIA ~~
FIRS Sf,FETY INSPECTION REGIUEST
See lnstructlons on reverse.
;iT'O. 850 (HEY. 1D9~)
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING i (559 ~ 243-8080 j 12/05/05 1 109
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EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER
~ REQUEST CODE
SHELLY KINKEAD 1157203294 1 A
cones __~__
RESPONSE REQUIRED
-. -- ~ ORIGINAL A. FIRE CLEARANCE
~
LICENSING
STATE DEPT. OF SOCIAL SERVICES I 2. RENEWAL 8. LIFE SAFETY
AGENCY
NAME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 330 4. OWNERSHIP CHANGE
FRESNO, CA 93710-778 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY . BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY P?~:~.~liS CAPACII'; CAPACITY PREVIOUS CAPACITY
0 I ~ - --. .. ~ ~ --_~ - 0 - -- 0 6
FACIUTI' NAME
MIRACLE OF HOPE GUEST HOME, ~L
STREET ADDRESS (Adw1 Location)
3608 PASEO AIROSA
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BAKERSFIELD, CA 93311
FAgUTY CONTACT PERSON'S NAME
MILAGROS HESSE (661) 663-7559
SPEgAL CONDITIONS
uc;tN~t c:Arr:cc~Hr
ELDERLY
NUMBER OF BUILDINGS
1
RESTRAINT
NONE
HOURS
24 HOURS
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/DENIAL COOS
CODES
FlRE
AUTHORnI/. gAKERSFIELD FIRE DEPARTMENT ~ ~iaecLEARANCEGRANTED
NAME AND
ADDRESS g00 TRUXTON AVE., SUITE 210
gAKERSFIELD, CA 93301
I 2. FlRECLEARANCEDENIED
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B. CONSTRUCTION
J
C. FIRE ALARM
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MISPECTOR'S NAME
(TypaO a PrhMd
TELEPHONE NUMBER
CFlRS NUMBER
OCCUPANCY CLASS L. S?niiviu.Ei
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F. SPECIAL HAZARD
PLSPECTION DATE
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EXPWN GENIAL OR UST SPECIAL CONDITIONS