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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203276
Report Date: 02/14/2025
Date Signed: 02/14/2025 10:37:13 AM

Document Has Been Signed on 02/14/2025 10:37 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:MCCLELLAN BOARD & CARE FACILITY #2FACILITY NUMBER:
157203276
ADMINISTRATOR/
DIRECTOR:		GALICIA, RUDOLPHOFACILITY TYPE:
735
ADDRESS:825 FOXTREE COURTTELEPHONE:
(661) 366-7864
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY: 5CENSUS: 4DATE:
02/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:58 AM
MET WITH:House Supervisor Stephanie Hernandez and House Manager Melissa GaliciaTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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Licensing Program Analyst LPA Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with House Supervisor Stephanie Hernandez. House Supervisor contacted House Manager Melissa Galicia, who responded to the facility to assist with the visit.

A tour of the facility was conducted with House Manager. The residence was set at 71 F temperature and free of passageway obstructions inside and outside.

LPA Doucette observed 5 bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean. Hot water temperature was measured 113.4 F.

Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Knives were stored in a locked cabinet. Medications were stored in a locked Medication cabinet in the office which is separate from the facility. Cleaning supplies were in a locked cabinet in kitchen, a locked cabinet in the laundry room and a locked cabinet in the garage.

Smoke detectors and carbon monoxide detectors were checked and operating. Facility has a pull station fire alarm. Fire extinguishers were charged and had service dates of 7/30/24. Fire drill and earthquake drill were last completed on 2/7/25.

LPA observed a self latching gate on the outside of the residence.

Resident, medication and staff records were reviewed.Current first aid and CPR were on file for staff.

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

SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2025
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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