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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202598
Report Date: 05/31/2024
Date Signed: 06/03/2024 08:43:36 AM

Document Has Been Signed on 06/03/2024 08:43 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
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:KAVALIER HOME KERN RESIDENTIAL SERVICES,INC.FACILITY NUMBER:
157202598
ADMINISTRATOR/
DIRECTOR:		GLENN, RHONDAFACILITY TYPE:
735
ADDRESS:1805 KAVALIER COURTTELEPHONE:
(661) 833-6625
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93304
CAPACITY: 6CENSUS: DATE:
05/31/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:28 AM
MET WITH:UnavailableTIME VISIT/
INSPECTION COMPLETED:
10:40 AM
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On 5/31/2024 Licensing Program Analyst B. Miranda arrived at the facility unannounced to conduct a case management visit.

There was no answer at the facility. LPA attempted to call Administrator Rhonda Glenn. The call was unsuccessful and LPA was not able to leave a voicemail or message.

LPA left the facility without being able to contact staff or administrator. LPA will follow-up.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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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