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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155801279
Report Date: 02/27/2025
Date Signed: 02/27/2025 02:29:35 PM

Document Has Been Signed on 02/27/2025 02:29 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:GABLES, THEFACILITY NUMBER:
155801279
ADMINISTRATOR/
DIRECTOR:		STEPHANIE HAROFACILITY TYPE:
740
ADDRESS:903 SPIRIT LAKE DRIVETELEPHONE:
(661) 213-3927
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
02/27/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:33 AM
MET WITH:Stephanie Haro
Christina Marsy		TIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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On 2/27/25, Licensing Program Analyst (LPA) M. Medina arrived unannounced to conduct the Annual Inspection. LPA met with Administrators, Stephanie Haro and Christina Marsy to conduct facility visit.

Facility is a 5 bedroom, 3 bathroom home, there are 5 private bedrooms at facility. LPA observed facility to be clean, odor free, and well lit. Facility tour conducted with Administrators, tour began in resident bedrooms. Bedrooms observed to have all required furnishings, linen observed to be in good repair with additional linens available. Resident bathrooms toured, all fixtures observed operational. LPA observed grab bars, shower chairs and non-skid mats available. All common areas observed to have adequate seating available. LPA observed carpet in formal living observed to be separating at seam, carpet in family room observed to have a large stain, and the carpet in hallway between bedrooms D and E observed to have a large bleach stain. Plastic moulding between carpet in family living room and kitchen area to be missing a piece. Kitchen toured, LPA observed facility to have a 2-day supply of perishable food and a 7-day supply of non-perishable food available. All knives and stove knobs are locked and secured in kitchen drawer. Medications are centrally stored and locked in cabinet near master bedroom, medications observed to have original labels and to be administered as prescribed. First Aid kitchen with all regulation items.

Outside of facility toured, on the south side of facility near emergency exit there are wood boards and a broken plastic piece that need disposal. Backyard has several bricks and sprinkler pieces that need to moved or disposed of. South side of facility near emergency exit has several items such wood pieces, broken plastic piece that need disposal. Backyard has several bricks and sprinkler pieces that need to be secured or disposed of. Pond area is has no water but observed to be locked and secured and inaccessible to residents.

Staff and resident files reviewed. LPA received packet for change of Administrator for Christina Marsy during facility inspection,

Deficiency cited on the attached 809D. Exit interview conducted and a copy of report provided for facility records.
Alexandria WaltonTELEPHONE: (559) 246-0128
Melinda MedinaTELEPHONE: (559) 410-5914
DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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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Document Has Been Signed on 02/27/2025 02:29 PM - It Cannot Be Edited


Created By: Melinda Medina On 02/27/2025 at 01:26 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: GABLES, THE
FACILITY NUMBER: 155801279

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87303(a)
Maintenance and Operation
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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 Based on observation, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed carpet in formal living observed to be separating at seam, carpet in family room observed to have a large stain, and the carpet in hallway between bedrooms D and E observed to have a large bleach stain. Plastic moulding between carpet in family living room and kitchen area to be missing a piece. LPA observed the following in the backyard, several bricks and sprinkler pieces that need to secured or disposed of. On the south side of facility near emergency exit there are wood boards and a broken plastic piece that need disposal. Backyard has several bricks and sprinkler pieces that need to be secured or disposed of.
POC Due Date: 03/21/2025
Plan of Correction
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Administrator states that items in the back yard will be disposed of. Carpet clearner to be called to clean and a carpet company will be called to make necessary repairs.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Alexandria Walton
TELEPHONE: (559) 246-0128
LICENSING EVALUATOR NAME:Melinda Medina
TELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


LIC809 (FAS) - (06/04)
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