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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202862
Report Date: 02/23/2024
Date Signed: 02/23/2024 02:01:23 PM

Document Has Been Signed on 02/23/2024 02:01 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:KERN RESIDENTIAL SERVICES, INC. (LAYTON HOME)FACILITY NUMBER:
157202862
ADMINISTRATOR:GLENN, RHONDAFACILITY TYPE:
735
ADDRESS:2717 LAYTON DRIVETELEPHONE:
(661) 396-9544
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 4CENSUS: 4DATE:
02/23/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator Cheryl MCCrawTIME COMPLETED:
11:15 AM
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Licensing Program Analyst LPA Shawna Doucette arrived at the facility unannounced and conducted an Annual Inspection on this date. LPA contacted Administrator Cheryl McCraw via telephone, who responded to the facility to assist with the visit. House Manager Tamesha Whittington responded to the facility to also assist with the visit.

LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, appeared clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food. Knives are locked in the kitchen drawer.

Resident rooms checked and found to be clean. LPA observed an adequate supply of linen. Hot water measured at 118 F degrees F. Facility was set at 68 F.

Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching.

Fire extinguisher serviced on 03/12/2023. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted 1/05/2024. All cleaning supplies are locked in a cabinet in the in the laundry room.

Staff files were reviewed. Staff have current first aid and CPR on file. Resident files were reviewed with current IPP's.

An exit interview was conducted with House Manager and a copy of this report was provided..

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2024
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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