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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203233
Report Date: 07/12/2023
Date Signed: 07/13/2023 03:43:25 PM

Document Has Been Signed on 07/13/2023 03:43 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:N.A.P.D. MELANIE BELL-KENNEMER ADULT ENRICH CTR.FACILITY NUMBER:
157203233
ADMINISTRATOR:MONTES, MARIAFACILITY TYPE:
775
ADDRESS:3720 N. SILLECT AVE.TELEPHONE:
(661) 324-9854
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY: 210CENSUS: 46DATE:
07/12/2023
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Associative Assistant Director, Melinda HarrisonTIME COMPLETED:
01:20 PM
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Licensing Program Analyst (LPA) Darius Williams conducted an unannounced collateral visit at the facility. LPA Williams met with Associative Assistant Director, Melinda Harrison and discussed the purpose the visit.

LPA Williams attempted to interview Resident 2 and Resident 3. LPA Williams interviewed Witness 2.

An exit interview was conducted and a copy of this report will be provided via e-mail.
SUPERVISORS NAME: Serigy Pidgirny
LICENSING EVALUATOR NAME: Darius Williams
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2023
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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