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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209036
Report Date: 05/18/2023
Date Signed: 05/18/2023 11:42:27 AM


Document Has Been Signed on 05/18/2023 11:42 AM - 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:OAKMONT OF NORTH FRESNOFACILITY NUMBER:
107209036
ADMINISTRATOR:GUSTIN, PATRICIAFACILITY TYPE:
740
ADDRESS:5605 N GATES AVETELEPHONE:
(559) 277-5959
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:122CENSUS: 79DATE:
05/18/2023
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Mary DavisTIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPAs) Katie Brown and Mariam Flores arrived at the facility unannounced to conduct a Health & Safety Inspection in conjunction with a 10-day initial complaint visit. LPAs introduced themselves and explained the purpose of the visit with Marketing Director Mary Davis.

During the visit, LPAs toured the facility and conducted resident file reviews. During the tour, LPAs observed residents throughout the facility and in their apartments. Paper products, towels, linens and hygiene supplies were observed. Resident apartments toured, required furniture and lighting in place. The facility was clean, walkways and doorways were free of obstruction. LPA toured the kitchen and observed required perishable and non-perishable food supply. Housekeeping carts, including cleaning and disinfectants supplies were inaccessible. LPAs observed outdoor courtyards with seating areas and delayed egress gates in working order. Fire extinguishers dated 12/28/22. Administrator certificate expires 7/29/24.

No deficiencies cited during this Health & Safety Inspection.







An exit interview was conducted and a copy of this report was left with Administrator, Heidi Setty, whose signature confirms receipt of these documents.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Katie BrownTELEPHONE: (559) 498-9964
LICENSING EVALUATOR SIGNATURE:
DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/18/2023
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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