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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155801264
Report Date: 05/24/2021
Date Signed: 05/24/2021 03:51:47 PM

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:MATTHEWS, SAVANNAHFACILITY TYPE:
740
ADDRESS:2001 AKERS ROADTELEPHONE:
(661) 834-0200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:70CENSUS: 49DATE:
05/24/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Savannah Matthews, AdministratorTIME COMPLETED:
11:00 AM
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On 5/24/21 at 8:35 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an annual inspection. LPA was met by Administrator (ADM) Savannah Matthews and stated purpose of visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Facility has one main entrance/exit point for residents and visitors, and a separate entry point for staff.

Facility was observed clean and without any obstructions or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed by sinks. Residents each have a private room with bathroom. LPA checked residents’ medications and observed the month's supply. Pharmacy staff drop off next month's supply of medication less than one week before completion of current month's supply. Food supply was observed in adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Residents files have updated emergency contact information. Administrator certification is current.

No deficiencies observed or cited.


Exit interview was conducted. A copy of this report will be sent via email with read receipt to Administrator Savannah Matthews, whose signature confirms receipt of this report.
SUPERVISOR'S NAME: Andy XiongTELEPHONE: (559) 650-7904
LICENSING EVALUATOR NAME: Malia ThaoTELEPHONE: (559) 650-7931
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021
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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