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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203233
Report Date: 06/18/2024
Date Signed: 07/01/2024 06:43:10 AM

Document Has Been Signed on 07/01/2024 06:43 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
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/
DIRECTOR:		MONTES, MARIAFACILITY TYPE:
775
ADDRESS:3720 N. SILLECT AVE.TELEPHONE:
(661) 324-9854
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY: 210CENSUS: 41DATE:
06/18/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Program Director, Maria Montes TIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 06/018/24, Licensing Program Analyst's (LPA) L. Salazar arrived to the facility unannounced to conduct the required annual inspection. LPA was greeted by Program Director, (PD), stated the purpose of the visit and was allowed entry into the facility. LPA toured the facility inside and out with PD. LPA Medina arrived shortly after LPA's arrival to conduct the records review portion on the report.

LPA observed 9 classrooms at the time of visit, one is being used as a storage for equipment. Facility was observed to be from any passageway obstruction / fire hazards. Facility temperature was 74 degrees F. Bathrooms were toured and observed to clean and free from odor, have operational lights, running water. Hand washing postings were observed. LPA toured the facility inside and out. Disinfectants and cleaning supplies were observed to be locked in a janitor closet and is inaccessible to clients.

Emergency disaster plan and procedures are in place. Last disaster drill was conducted on 05/10/24. Doors and passageways were observed to be free from obstruction throughout the program. Fire extinguishers were observed with an expiration date 03/20/24.

LPA requested the following updated forms to be faxed to CCLD by 06/28/24: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Client Roster (LIC 9020).

No deficiencies issued during today's visit.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE: DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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
VISIT DATE: 06/18/2024
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(Continued from LIC809)

Smoker detectors were observed to be hard wired. Fire Extinguishers were observed throughout the facility with a service date of 05/01/24. The exterior tour of facility’s outside area was conducted and found to be free from debris.

A sample of client files were reviewed and observed to have Admission agreement, Needs and Service Plan, and annual Medical Assessment. A sample of staff files were also reviewed. Staff files were observed to have 8 hours of documented training and current First Aid/CPR certifications. Staff present at today’s visit were fingerprinted clear and associated to the facility. Emergency Disaster Drill logs were observed for all staff. Last drill was a fire drill, conducted in May 23, 2024.

LPA requested the following updated annual forms: LIC9020 (Client Roster), (Personnel Summary (LIC500) , Emergency Disaster Plan/LIC 610D with LIC 999 (Facility Sketch to include emergency shut off locations) to be submitted to Fresno CCL by: 06/21/24: An exit interview was conducted with Program Manager. A copy of this report was discussed and provided at the time of visit. No deficiencies cited on today's visit.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
LIC809 (FAS) - (06/04)
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