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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157200810
Report Date: 02/05/2024
Date Signed: 02/05/2024 12:44:15 PM

Document Has Been Signed on 02/05/2024 12:44 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:SEAVIEW HOMEFACILITY NUMBER:
157200810
ADMINISTRATOR:TIMBREZA, JHOSANFACILITY TYPE:
735
ADDRESS:3000 SEAVIEW DRIVETELEPHONE:
(661) 588-5180
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 4DATE:
02/05/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:Jhosan Timbreza
Ofelia Nebrida		TIME COMPLETED:
01:00 PM
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On 2/5/2024, Licensing Program Analyst (LPA) M. Medina conducted an announced Annual Required Inspection. LPA allowed entrance by Administrator Jhosan Timbreza.

Currently, four residents in care. No residents were present during today's visit, residents were attending day program.

Facility tour conducted. Facility observed to be clean and odor free. Adequate seating and lighting observed in both the living room and dining room. Resident bedrooms have all required accommodations. Resident bathroom toured, LPA measured water temperature 107 degrees F. Kitchen toured, LPA observed a 2-day supply of perishable food and a 7-day supply of non-perishable food. Medications observed to be kept in a locked closet in the hallway. Client medications were reviewed. All medication observed to have original labels and appear to be administered as prescribed.

Smoke and carbon monoxide detector observed operational and mounted in the hallway. Fire extinguishers present and have a service date of 7/31/2023. Last fire drill conducted on 12/20/2023 according to facility records. All cleaning supplies observed to be locked and secured under kitchen sink.

Outside area toured. All exits open free of obstruction, no hazards observed.

Staff and resident files reviewed. LPA received copies of LIC 308, LIC 500 and LIC 9020 during facility inspection.

No deficiencies observed.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2024
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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