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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107201320
Report Date: 06/03/2021
Date Signed: 06/10/2021 01:50:52 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:PRYOR FALLS, INC.FACILITY NUMBER:
107201320
ADMINISTRATOR:PINHEIRO, TRISHAFACILITY TYPE:
740
ADDRESS:2551 EAST PRYOR DRIVETELEPHONE:
(559) 297-8930
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY:6CENSUS: 4DATE:
06/03/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:Caregiver, Rosie GonzalezTIME COMPLETED:
10:46 AM
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On 06/03/2021, Licensing Program Analyst (LPA) A. Walton arrived unannounced to conduct an Infection Control Inspection. LPA introduced self, stated the purpose of the visit, and requested to speak with Administrator. Facility staff contacted Administrator, Trisha Pinheiro. Administrator was unable to attend this inspection. LPA received verbal permission to conduct the facility tour with Caregiver, Rosie Gonzalez. LPA observed a visitor log/temperature check log at the main entrance of the facility. Facility has one central entry/exit.

Tour conducted with Caregiver. Facility appeared cleaned. Facility bathrooms did not have signs promoting handwashing. LPA observed a chair and table blocking the exit in bedroom 3, staff immediately removed the chair and table. LPA observed signs promoting cough/sneeze etiquette and social distancing posted at the main entrance.

LPA observed an adequate supply of food. Facility has an adequate supply of PPE and cleaning supplies.

Caregiver did not have access to requested items and was unable to answer infection control questions. LPA will return on a later date to conduct an Annual Continuation, due to the Administrator not being able to attend this inspection.

No deficiencies issued. Administrator was informed that as a COVID-19 precautionary measure, this report will be emailed and an electronic read receipt confirms receiving this document. Facility representative signature on file.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 650-7914
LICENSING EVALUATOR NAME: Alexandria WaltonTELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021
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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