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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157200810
Report Date: 01/26/2023
Date Signed: 01/27/2023 08:05:50 AM

Document Has Been Signed on 01/27/2023 08:05 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:SEAVIEW HOMEFACILITY NUMBER:
157200810
ADMINISTRATOR:TIMBREZA, JHOSANFACILITY TYPE:
735
ADDRESS:3000 SEAVIEW DRIVETELEPHONE:
(661) 588-5180
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 3DATE:
01/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:33 AM
MET WITH:Jhosan TimbrezaTIME COMPLETED:
01:04 PM
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On this date 1/26/23, Licensing Program Analyst (LPA) Medina conducted an Annual Required Inspection. LPA was met by Administrator, Jhosan Timbreza. LPA stated purpose of visit and allowed entrance. All COVID-19 guidelines observed to be in place, Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point, all staff and visitors enter through front door.

One (1) resident present during today's inspection. Facility toured, all common areas have adequate seating for residents. Resident bedrooms observed to have required furnishings, all bedrooms are private. Kitchen toured, facility observed to have 2-day supply of perishable food and a 7-day supply of non-perishable food available. Medication observed to be locked and secured in hall way closet, residents have a 30-day supply of medication available.

Fire extinguisher present and has a service date 8/21/22. Carbon monoxide detector and smoke detectors present and observed operational during today's inspection.

All cleaning supplies are locked and secured in small cabinet in the kitchen.

Outside toured, all fire exits are free of obstruction.

LPA received copy of current Administrator certificate and first aid card during visit.

No deficiencies were observed. Exit interview was conducted. Report signed during inspection and a copy left for facility file.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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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