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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202389
Report Date: 09/25/2024
Date Signed: 09/25/2024 11:46:57 AM

Document Has Been Signed on 09/25/2024 11:46 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:KREBS RANCH HOMEFACILITY NUMBER:
157202389
ADMINISTRATOR/
DIRECTOR:
MCCRAW, CHERYLFACILITY TYPE:
735
ADDRESS:6304 KREBS RDTELEPHONE:
(661) 587-5290
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY: 2CENSUS: 2DATE:
09/25/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Cheryl McCraw, Administrator TIME VISIT/
INSPECTION COMPLETED:
11:55 AM
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On 09/25/24, Licensing Program Analysts M. Medina and L. Salazar conducted an unannounced required annual inspection. LPAs introduced selves, stated the purpose of the visit and were allowed entry into the facility by Direct Care Staff. Administrator, Cheryl McCraw contacted by telephone and arrived a short time later to conduct facility visit.

LPA Medina conducted physical plant tour and LPA Salazar will review a sample of staff and resident files and inspection tool results on a separate report.

One resident was present during facility inspection. Facility observed to be a comfortable temperature and well lit. Facility tour began in kitchen, facility observed to have a 2-day supply of perishable and 7-day of non-perishable available for residents. All knives, sharps and utensils are locked and secured in hallway closet. All common areas have adequate seating available for residents. Resident restroom toured. LPA observed grab bars and non-skid mats available. Water temperature measured at 111 degrees F. Resident bedrooms toured, bedrooms observed to have all required furnishings available.

Smoke detectors and carbon monoxide detectors observed operational during inspection. All chemicals and cleaning supplies observed to be locked and secured in hallway closet.

Outside of facility toured. Facility has perimeter fence around the backyard, all exit gates observed to be unlocked and no hazards observed. All facility exits and passage ways observed to be from of hazards.

No deficiencies observed.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
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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