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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155801264
Report Date: 01/11/2023
Date Signed: 01/13/2023 10:49:44 AM


Document Has Been Signed on 01/13/2023 10:49 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:HALLMARK OF BAKERSFIELDFACILITY NUMBER:
155801264
ADMINISTRATOR:ROMERO, DARLENEFACILITY TYPE:
740
ADDRESS:2001 AKERS ROADTELEPHONE:
(661) 834-0200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:70CENSUS: 47DATE:
01/11/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:02 PM
MET WITH:Administrator, Ashley CandelasTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Darius Williams conducted an unannounced visit in response to a Notice of Exclusion order being issued to Staff 1. LPA Williams met with Administrator Ashley Candelas and discussed the purpose of the visit.

LPA Williams received documentation from the Administrator verifying S1 terminated employment on 11/2/2021.

An exit interview was conducted and a copy of this report will be provided via e-mail.
SUPERVISOR'S NAME: Serigy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Darius WilliamsTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2023
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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