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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202482
Report Date: 07/21/2023
Date Signed: 07/21/2023 01:26:06 PM


Document Has Been Signed on 07/21/2023 01:26 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:ARCADIA GARDENS RESIDENTIAL CAREFACILITY NUMBER:
157202482
ADMINISTRATOR:ROURA, RODELIOFACILITY TYPE:
740
ADDRESS:1004 COYOTE SPRINGSTELEPHONE:
(661) 699-3786
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:6CENSUS: 4DATE:
07/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:06 AM
MET WITH:Olivia RouraTIME COMPLETED:
01:20 PM
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On 7/21/23, Licensing Program Analyst (LPA) M. Medina arrived unannounced to conduct the Annual Inspection. LPA met with and explained the purpose of the visit with Administrator, Olivia Roura.

During this visit, LPA toured the facility. Furniture and flooring in common rooms observed to be in good repair with adequate lighting throughout. Resident bedrooms have required furnishings, lighting and linens. The kitchen observed clean, in good repair with necessary items and appliances. LPA observed required food supply, paper products and PPE. Knives, cleaning/disinfecting supplies and chemicals are locked and stored separate from food. Medications are centrally stored and locked. Facility has designated visitation areas available inside and out. Outside of the facility toured. LPA observed a self-releasing gate and windows have screens in good repair. Doors and passageways are unobstructed throughout the home and outside. Fire Extinguishers have a service date of 3/30/23. Smoke and Carbon Monoxide detectors present and observed operational.

LPA conducted resident and staff file reviews and interviews.

LPA requested the following forms to be submitted to Fresno Regional Office no later than 8/4/23: Personnel Report (LIC 500), Emergency Disaster Plan (610E), Client Roster (LIC 9020), Current Liability Coverage.

No deficiencies were cited during this inspection. An exit interview was conducted. A copy of this report was signed and left with Administrator for facility records.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2023
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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