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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157200632
Report Date: 01/23/2025
Date Signed: 01/23/2025 02:49:23 PM

Document Has Been Signed on 01/23/2025 02:49 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:SVS BAKERSFIELD SOUTHWEST ADULT DAY PROGRAMFACILITY NUMBER:
157200632
ADMINISTRATOR/
DIRECTOR:		SANCHEZ, DOLORESFACILITY TYPE:
775
ADDRESS:4705 NEW HORIZON BLVD, STE 12TELEPHONE:
(661) 241-6758
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY: 90CENSUS: 49DATE:
01/23/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Program Director Dolores Sanchez and Regional Directior Latisha Albritton TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Program Director Dolores Sanchez and Regional Directior Latisha Albritton . LPA disclosed the purpose of the inspection and was granted entry into the facility by Program Director Dolores Sanchez.

A tour of the facility was conducted with Program Director. The facility was set at 71 F temperature and free of passageway obstructions inside and outside. Water measured at 117.8 F.

LPA observed several activity rooms where clients were participating in activities.

Kitchen was toured. Cleaning supplies were locked in two separate storage rooms. Smoke detectors are hard wired through an alarm company. Facility is wired with sprinkler system. Fire extinguishers were charged and had service dates of 08/16/24. Fire drill was last completed on 11/15/24. Earthquake drill 10/17/24.

Client and staff records were reviewed. Current first aid and CPR were on file for staff.

An exit interview was conducted with the Program Manager and a copy of this report was provided.

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
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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