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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209263
Report Date: 08/28/2024
Date Signed: 08/28/2024 10:39:46 AM


Document Has Been Signed on 08/28/2024 10:39 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710



FACILITY NAME:A PLACE CALLED HOME RESIDENTIAL CARE A2FACILITY NUMBER:
107209263
ADMINISTRATOR:MURCHISON, COLINFACILITY TYPE:
740
ADDRESS:1851 N TWINBERRY AVETELEPHONE:
(559) 213-7251
CITY:CLOVISSTATE: CAZIP CODE:
93619
CAPACITY:1CENSUS: 0DATE:
08/28/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator - Collin MurchisonTIME COMPLETED:
11:00 AM
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On 08/22/2024 Licensing Program Analysts (LPA) M. Vega arrived at the facility unannounced to conduct a required Annual Inspection. LPA introduced themselves and stated the purpose of visit. LPA were allowed into the facility and new Licensee Colin Murchison was contact and arrived at a later time.

Facility current capacity is 1 with a current census of 0. Facility has 5 bedrooms and 4 bathrooms, 1 bedroom and 1 bathroom for the resident downstairs. Capacity for 1 resident ambulatory at the time of inspection.

LPA toured the facility inside and out including entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. LPA observed the facility to be clean, clutter, and odor free.

All fire exit routes were free and clear of obstructions. Smoke detectors and carbon monoxide detectors were tested and are in working condition. Fire extinguishers have been services as of 01/2024 and are in good standing. Smoke alarms are in working condition.

At the time of inspection, the licensee is selling facility as a regular home, licensee stated that will consider transferring license to another facility.

No deficiencies issued per the California Code of Regulations Title 22.

Exit interview was conducted and a copy of this report LIC 809 and appeal rights were provided to Collin Murchison
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 272-4781
LICENSING EVALUATOR NAME: Martin VegaTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/28/2024
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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