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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107204054
Report Date: 04/24/2024
Date Signed: 04/24/2024 04:19:07 PM


Document Has Been Signed on 04/24/2024 04:19 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710



FACILITY NAME:HAPPY LIVING FACILITYFACILITY NUMBER:
107204054
ADMINISTRATOR:CATACUTAN, RAQUELFACILITY TYPE:
740
ADDRESS:5275 E. KAVILANDTELEPHONE:
(559) 228-9342
CITY:FRESNOSTATE: CAZIP CODE:
93725
CAPACITY:6CENSUS: 2DATE:
04/24/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Licensee/Administrator (L/A) Raquel CatacutanTIME COMPLETED:
03:00 PM
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An unannounced Annual visit was conducted by Licensing Program Analyst (LPA) K. McClurg. LPA met with Licensee/Administrator (L/A) Raquel Catacutan. LPA introduced self, provided business card, stated purpose of visit, & was allowed to proceed with visit.
Client on front porch area smoking - designated by facility as smoking area. Front door area fenced with gate with no lock on gate.

Physical plant toured. LPA & L/A discussed multiple issues & concerns.

Visit to be continued @ a later date.

Exit interview conducted L/A. Report provided.
SUPERVISOR'S NAME: See MouaTELEPHONE: (559) 580-4596
LICENSING EVALUATOR NAME: Kelly J. McClurgTELEPHONE: (559) 246-0435
LICENSING EVALUATOR SIGNATURE:
DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2024
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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