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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209424
Report Date: 02/11/2025
Date Signed: 02/11/2025 04:13:04 PM

Document Has Been Signed on 02/11/2025 04:13 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:BARBIN RESIDENTIAL CAREFACILITY NUMBER:
107209424
ADMINISTRATOR/
DIRECTOR:
BARBIN, LATRINA I.FACILITY TYPE:
735
ADDRESS:3535 N LAFAYETTE AVETELEPHONE:
(559) 266-3252
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY: 3CENSUS: 2DATE:
02/11/2025
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:13 PM
MET WITH:Jasmine BarbinTIME VISIT/
INSPECTION COMPLETED:
04:35 PM
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On 2/11/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Post Licensing inspection. LPA arrived, stated purpose of visit and allowed entrance by direct support professional. Jasmine Barbin, House Manager contacted by telephone and arrived a short time later to conduct inspection visit.

Two (2) residents present during today's inspection, observed to be interacting with staff. Facility observed to be clean, odor free, well lit, and at a comfortable temperature. Sufficient seating in both dining room and living room to accommodate all residents. Resident bedrooms toured and have required furnishings. Linen is sufficient and in good repair. Perishable and non-perishable food supply is sufficient to meet resident needs. Resident bathrooms toured, all fixtures observed operational. LPA observed hot water temperature measured at 105 degrees F. Knives are stored and secured an inaccessible to residents. All medication observed to locked and stored in hall closet

Carbon monoxide and smoke detectors observed operational during today's inspection. Fire extinguisher is present and has a service date of 02/04/2025. All chemicals are locked and secured in laundry room.

Outside of facility toured, all fire exits open freely and observed to free of obstruction. No hazards observed.

No deficiencies cited during inspection.

Exit interview conducted. A copy of report was provided for facility records.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/11/2025
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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