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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202389
Report Date: 07/26/2021
Date Signed: 07/26/2021 12:18:07 PM

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:KREBS RANCH HOMEFACILITY NUMBER:
157202389
ADMINISTRATOR:ANGELES, REALIZAFACILITY TYPE:
735
ADDRESS:6304 KREBS RDTELEPHONE:
(661) 587-5290
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:2CENSUS: DATE:
07/26/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:41 AM
MET WITH:Administrator, Cheryl McCrawTIME COMPLETED:
12:20 PM
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On 07/26/2021, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an Annual Inspection. LPA contacted the Administrator Rhoda Glenn, introduced self and stated the purpose of the visit. LPA met with Administrator, Cheryl McCraw arrived a short time later. LPA disclosed the purpose of the visit with Adminstrator McCraw. Facility has one central entry and exit. Visitor log-in/temperature check observed upon entry.

There are two residents present during this inspection.

Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. LPA observed signs promoting social distancing, cough/sneeze etiquette and social distancing. Bathroom has a trash can with lid. Hand washing posters were observed by the bathroom sink. Bedrooms are single occupant.

LPA checked residents’ locked medications and observed a 30-day supply. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health and infection control training. Facility staff was observed with mask on. Residents wear masks when away from the community. Resident’s files have updated emergency contact information.

No deficiencies were observed. Exit interview was conducted. Administrator was informed that as a COVID-19 precautionary measure, this report will be provided via email and an electronic read receipt confirms receiving this document. Report was signed.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 650-7914
LICENSING EVALUATOR NAME: Alexandria WaltonTELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
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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