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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157201145
Report Date: 02/02/2023
Date Signed: 02/02/2023 02:05:28 PM


Document Has Been Signed on 02/02/2023 02:05 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:WHISPERING PINESFACILITY NUMBER:
157201145
ADMINISTRATOR:DATINGUINOO, LUZMINDAFACILITY TYPE:
740
ADDRESS:5711 HESKETH DRIVETELEPHONE:
(661) 861-1779
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:6CENSUS: 4DATE:
02/02/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:37 AM
MET WITH:Luzminda DatinguindoTIME COMPLETED:
02:08 PM
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On this date Licensing Program Analyst, L. Xiong was at the above facility conducting a Health & Safety visit. I met with Licensee/Administrator Luzminda Datinguinoo and informed her the purpose of the visit.

A tour of the facility was conducted. Residents were observed to be doing well and having lunch - observed to be well groomed & dressed. There appears to be no staffing issues. COVID-19 guidelines are in place at the facility. Facility has an adequate supply of food.

No immediate Health & Safety concerns were observed.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Les XiongTELEPHONE: (559) 410-1772
LICENSING EVALUATOR SIGNATURE:
DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/02/2023
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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