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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206750
Report Date: 01/21/2025
Date Signed: 01/21/2025 12:39:42 PM

Document Has Been Signed on 01/21/2025 12:39 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:A PLACE CALLED HOME RESIDENTIAL CARE 2FACILITY NUMBER:
107206750
ADMINISTRATOR/
DIRECTOR:		COLIN MURCHISONFACILITY TYPE:
740
ADDRESS:4085 N NEWPORT BAYTELEPHONE:
(559) 346-1527
CITY:CLOVISSTATE: CAZIP CODE:
93619
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
01/21/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Administrator - Colin MurchisonTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 01/21/2025, Licensing Program Analyst (LPA) Martin V arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility, Administrator (AD) Colin Murchison was notified of Licensing visit over the phone. LPA toured facility with Administrator when AD arrived at facility.

Facility has one entrance/exit point. LPA toured facility with AD inside and out. LPA observed the back yard, fenced and emergency exit gate for residents’ safety.

The facility was observed to be at a comfortable temperature, of 70 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed residents in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility.

Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed.

Fire extinguisher was observed with a service date of 02/2024. All 6 residents’ bedrooms were observed to be with comfortable temperature. Bathroom water temperature was tested and recorded reading of 109 degrees F.

Report continued on LIC 809-C
Brenda ChanTELEPHONE: (650) 272-4781
Martin VegaTELEPHONE: 559-243-8080
DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: A PLACE CALLED HOME RESIDENTIAL CARE 2
FACILITY NUMBER: 107206750
VISIT DATE: 01/21/2025
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Medications observed to be locked in a cabinet in laundry room. LPA reviewed medication records, records accurate at time of inspection. Cleaning supplies were observed to be in a locked cabinet in the laundry room and under kitchen sink. An outdoor seating area was observed operational for residents in care.

LPA reviewed Staff and Resident files. Resident files observed to have updated information.

No deficiencies were observed and cited. Exit interview conducted.
Exit interview conducted, report signed and copy of this report provided for facility records.
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 272-4781
LICENSING EVALUATOR NAME: Martin VegaTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC809 (FAS) - (06/04)
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