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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206776
Report Date: 02/09/2022
Date Signed: 02/09/2022 03:04:04 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:IDEAL CARE CENTERSFACILITY NUMBER:
107206776
ADMINISTRATOR:IDONI, GREGORY AFACILITY TYPE:
740
ADDRESS:3618 W DAYTON AVETELEPHONE:
(559) 275-2488
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:6CENSUS: 5DATE:
02/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Gregory IdoniTIME COMPLETED:
01:40 PM
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Licensing Program Analyst (LPA) Katie Brown arrived at the facility unannounced to conduct the Infection Control Inspection. LPA met with Administrator Gregory Idoni. LPA entered through the central entry point where health screening was conducted. LPA Observed visitor screening area, PPE and sanitizer.

Infection control procedures which were observed or reviewed by LPA include: Daily symptoms screenings (for staff, residents and visitors), testing, visitation requirements, quarantine/isolation procedures, staffing, PPE and daily infection control procedures. All residents and live in staff are fully vaccinated.

LPA toured the facility inside and out. Required postings as well as Covid-19 and hand washing were observed. Furniture in common and dining areas are spaced to promote distancing. Facility has designated visitation areas available. LPA observed 30-day resident medication as well as PPE supply. Bathroom sinks are stocked with liquid soap and paper towels washing.





The following forms requested to be updated and submitted to LPA by 2/23/2022: LIC 308, 309 610, 500, 9020A, a copy of current Liability Insurance. Administrator Certificate Expiration date 6/12/2023.

No deficiencies cited for Infection Control Annual Inspection.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Katie BrownTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
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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