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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202907
Report Date: 08/04/2022
Date Signed: 08/04/2022 10:35:28 AM

Document Has Been Signed on 08/04/2022 10:35 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:HALF MOON HOMEFACILITY NUMBER:
157202907
ADMINISTRATOR:GLENN, RHONDAFACILITY TYPE:
735
ADDRESS:3509 SOUTH HALF MOON DRIVETELEPHONE:
(661) 833-6333
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 6CENSUS: 5DATE:
08/04/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Cheryl McCraw, Co-Administrator
Sharon Jones, House Manager
James Simpkins, House Manager		TIME COMPLETED:
10:50 AM
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On 8/4/22 at 9:10 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a case management - incident inspection. LPA explained reason for inspection and was granted entry. Co-Administrator (ADM) Cheryl McCraw arrived a short time later.

CCL received an incident report from the facility for an incident that occurred on 6/20/22 with R1.

LPA reviewed records and interviewed staff.

Deficiency was not cited during this inspection.

Exit interview conducted. A copy of this report was given to Co-Administrator Cheryl McCraw, whose signature confirms receipt of this report.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE: DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/04/2022
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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