<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203233
Report Date: 08/22/2023
Date Signed: 08/23/2023 08:51:40 AM

Document Has Been Signed on 08/23/2023 08:51 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:MONTES, MARIAFACILITY TYPE:
775
ADDRESS:3720 N. SILLECT AVE.TELEPHONE:
6613249854
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY: 210CENSUS: 41DATE:
08/22/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Maria Montes, Administrator TIME COMPLETED:
05:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/22/23, Licensing Program Analyst (LPA), L. Salazar arrived at the facility unannounced to conduct additional interviews on complaint investigation 24-AS-20230502144942, after additional information was received.

LPA conducted additional staff interviews regarding the alleged incident. Multiple staff statements revealed the Program Director(PD), at the time of the complaint investigation, was requiring Staff S1 to leave client classrooms to meet in PD's office, leaving clients without the required care and supervision and staffing/client ratios of 1:3. This was documented to have happened on more than one occasion.

In accordance with the California Code of Regulations, Title 22, a deficiency is being cited on the attached 809-D. If not corrected, the violation poses an immediate risk to the health, safety or personal rights of clients in care.

Exit interview conducted, appeal rights and copy of this report will be provided via email on 08/23/23. A plan of correction was already developed and implemented by Associate Executive Director. PD was terminated from employment and is no longer employed with the day program. An all staff training was held regarding NAPD's policies and procedures of the program. Client rights training is scheduled for 09/06/23.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 08/23/2023 08:51 AM - It Cannot Be Edited


Created By: Lisa Salazar On 08/22/2023 at 05:19 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: N.A.P.D. MELANIE BELL-KENNEMER ADULT ENRICH CTR.
FACILITY NUMBER: 157203233

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/23/2023
Section Cited
CCR
82065.5(a)(1)

1
2
3
4
5
6
7
82065.5 Staff-Client Ratio
(a) Whenever a client who relies upon others to perform all activities of daily living is present, the following minimum staffing requirements shall be met: (1)For Regional Center clients, staffing shall be maintained as specified by the Regional Center. This requirement was not met as evidenced by multiple staff interviews, Program Director required Staff S1 to leave classroom, on multiple occasions, which left clients without the required staff/client ratio of 1:3.
1
2
3
4
5
6
7
POC has been initiated. PD was terminated from employment and is no longer employed with the day program. An all staff training was held regarding NAPD's policies and procedures of the program. Client rights training is scheduled for 09/06/23. Proof of training (sign in sheet) due by 09/06/23 date.
8
9
10
11
12
13
14
This poses an immediate risk to the health, safety or personal rights of clients in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Melinda Hoffmann
LICENSING EVALUATOR NAME:Lisa Salazar
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2