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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209200
Report Date: 04/19/2022
Date Signed: 04/19/2022 08:34:59 PM

Document Has Been Signed on 04/19/2022 08:34 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:ABLELIGHT, INC. -GATEWAYFACILITY NUMBER:
107209200
ADMINISTRATOR:WARD, ROSALINDFACILITY TYPE:
735
ADDRESS:587 GATEWAY AVETELEPHONE:
(559) 322-9183
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY: 4CENSUS: 6DATE:
04/19/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:04 PM
MET WITH:Administrator, Rosalind WardTIME COMPLETED:
05:02 PM
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On 4/19/2022 Licensing Program Analyst (LPA) M. Garza arrived at facility to complete a Pre-Licensing visit. LPA met with Administrator, Rosalind Ward and was COVID pre-screened at entry.

LPA toured facility. Common rooms have adequate furnishings and lighting. All of the resident bedrooms have all the required furnishings and adequate lighting. Hot water temperature in bathrooms measured at 106 degrees F in the restroom and 108 degrees in the kitchen. LPA observed a supply of extra bed linens and personal hygiene and grooming products. Kitchen observed to have dishes, plates, utensils. Cleaning supplies are stored in a locked cabinet in the garage. Medications are locked in a medication cabinet in the hallway. First aid kit contains all the required items.

A fire extinguisher is present and has a service date of 4/18/22. Fire system in place for fire extinguishers and a sprinkler system. Fire alarms and carbon monoxide detectors functioning at time of visit. Facility has PPE and Mitigation plan.

Outside of the facility toured. Exits open free of obstruction, perimeter gate around facility is in place. No outside hazards observed. No pools or bodies of water. All required postings are posted with exception of the Let-Us-No poster. Facility phone number will be (559) 299-7705.

Component III was conducted during pre-licensing visit with Administrator. Pre-Licensing is incomplete with deficiencies to be resolved by 5/6/22. A follow up Pre-Licensing visit will be completed upon resolution of deficiencies.

Due to COVID precautionary measures a copy of this report will be emailed to: rosalind.ward@ablelight.org and jennife.kungu-jalango@ablelight.org. A delivered and read receipt serves as confirmation.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2022
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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