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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100400070
Report Date: 03/04/2025
Date Signed: 03/04/2025 05:32:49 PM

Document Has Been Signed on 03/04/2025 05:32 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:CALIFORNIA ARMENIAN HOMEFACILITY NUMBER:
100400070
ADMINISTRATOR/
DIRECTOR:		PAUL ROCHAFACILITY TYPE:
741
ADDRESS:6720 E KINGS CANYON RDTELEPHONE:
(559) 251-8414
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY: 392TOTAL ENROLLED CHILDREN: 0CENSUS: 233DATE:
03/04/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:36 PM
MET WITH:Paul RochaTIME VISIT/
INSPECTION COMPLETED:
05:50 PM
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On 3/4/2025 Licensing Program Analysts (LPAs) Daiquiri Boyd and Melinda Medina made an unannounced visit to the facility. LPAs toured the new addition to the Cognitive Care building.

LPA received the fire clearance on 2/21/25 which was granted by Fresno Fire Department. Fire clearance was granted for an additional 20 residents to occupy the addition to the dwelling. LPAs toured the additional living space on property. The additional space is properly furnished for the increase of 20 residents. LPA observed smoke detector and carbon monoxide detectors to be operational. Fire extinguishers were serviced on 12/18/2024.

The individual rooms toured in this building are new additions and have furnishings available if needed by new residents. The new wing in cognitive care has fifteen (15) single bedrooms with a shared "Jack and Jill" style shared bathroom. The remaining five (5) bedrooms are private. Each bedroom has a sink in the entrance area. All bedrooms are equipped with call buttons. All bathrooms have built in shower chairs, grab bars, and non-skid floor surface in the shower. Bedrooms do not have built-in closets, but include an armoire with space to hang belongings.

Newly built medication room with locked doors was toured.

Pending review and approval by Fresno Regional Office (FRO) and Continuing Care Contracts Bureau (CCCB).
Sergiy PidgirnyTELEPHONE: (559) 243-8080
Daiquiri BoydTELEPHONE: 559-243-8080
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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