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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157200963
Report Date: 03/07/2025
Date Signed: 03/07/2025 01:15:55 PM

Document Has Been Signed on 03/07/2025 01:15 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:KERN ADULT PROGRAM, INC.FACILITY NUMBER:
157200963
ADMINISTRATOR/
DIRECTOR:		NORIEGA, JOHNFACILITY TYPE:
775
ADDRESS:2900 EYE ST.TELEPHONE:
(661) 323-4700
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY: 120CENSUS: 88DATE:
03/07/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:44 AM
MET WITH:John NoriegaTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 03/07/24, Licensing Program Analyst (LPA) M. Medina arrived to conducted an unannounced Annual Required Inspection. LPA introduced self, stated purpose of visit, and allowed entrance by staff. LPA met with Director of Client Services, John Noriega to conduct facility tour.

LPA toured the facility with Director of Client Services, both buildings and outside areas toured. LPA toured classroom, bathrooms, common areas, kitchen, parlor. Buildings observed to be a comfortable temperature. LPA observed clients to be preparing for movie Friday at time of LPA arrival, classroom observed to have adequate ratios for residents. Bathrooms tours, LPA observed fixtures operational, and all trash cans to have lids. All passage ways observed to be free of obstruction. Medications observed to be locked and secured in cabinet in medication office in building A.

Cleaning supplies were observed to be locked. First aid kit was observed and contained all required items. Carbon monoxide detectors were observed to be operational. Fire Extinguishers were observed with a service date of 05/10/24. Last fire drill conducted 1/21/2025 and disaster drill was 02/11/2025 according to facility records.

Outside of facility observed to have gated areas with shade structure and tables and chairs. Area observed to be free of any hazards.

LPA reviewed a sample of resident and staff files during inspection.

Exit interview conducted and a copy of report provided for facility records.

No deficiencies cited.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2025
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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