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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100400544
Report Date: 02/08/2024
Date Signed: 02/08/2024 04:53:21 PM


Document Has Been Signed on 02/08/2024 04:53 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:TERRACES AT SAN JOAQUIN GARDENS, THEFACILITY NUMBER:
100400544
ADMINISTRATOR:JESSICA LOPEZFACILITY TYPE:
741
ADDRESS:5555 NORTH FRESNO STREETTELEPHONE:
(559) 439-4770
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY:652CENSUS: 82DATE:
02/08/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Valerie EppsTIME COMPLETED:
05:05 PM
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On 02/08/24, Licensing Program Analyst (LPA) M. Flores arrived unannounced to conduct a required annual inspection. LPA met with Director, Valerie Epps and announced the purpose of the visit.

LPA toured lodges, Antonella, Tivoti, Tulipano,Valencia and Grove inside and out. LPA checked water temperature in a sixteen-bedroom sample, bathroom temperature read, lowest 106.3 degrees F and highest 134 degrees F. LPA observed fire extinguishers and were last service on 12/04/2023 and 2/10/23. Kitchen toured and food stored properly for perishable and nonperishable in each kitchen for each lodge. Medication is locked and stored in a medication cart. All sixteen bedrooms observed during this annual inspection were properly furnished, had adequate lighting, and storage space. Smoke detectors and carbon monoxide were last checked on 2/8/2024 for Antonella; Valencia, Tivoti, Tulipano, and the Grove were inspected last inspected on 2/07/24. A sample of staff files was completed. Interviews of staff and residents was completed.

Due to time constraints annual inspection was not completed at this time. No deficiencies and citations were issued at this time. LPA will return to the facility on another date to complete this annual inspection.



Exit interview was conducted with Director, Valerie Epps.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) -24-0610
LICENSING EVALUATOR NAME: Miriam FloresTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2024
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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