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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203969
Report Date: 06/04/2024
Date Signed: 06/05/2024 04:49:11 PM

Document Has Been Signed on 06/05/2024 04:49 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:NEW PATHWAYSFACILITY NUMBER:
157203969
ADMINISTRATOR/
DIRECTOR:		SEDAM, RUSSFACILITY TYPE:
775
ADDRESS:1107 OLIVE DR.TELEPHONE:
(661) 615-6480
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY: 60CENSUS: 34DATE:
06/04/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:08 AM
MET WITH:Priscilla Thomas, Program Manager TIME VISIT/
INSPECTION COMPLETED:
12:42 PM
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On 06/04/24, Licensing Program Analyst (LPA) L. Salazar arrived to the facility unannounced to conduct the required annual inspection. LPA was greeted by Program Manager (PM), stated the purpose of the visit and was allowed entry into the facility. LPA toured the facility inside and out with PM. Administrator of the facility is Russ Sedam Administrator Certificate #7001698725 Exp. 08/26/25.

LPA observed 2 main classrooms at the time of visit. This is a community based program, 13 out of 34 clients were present at the time of visit, the rest of the clients were out in the community on outings. 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.

Clients bring their own lunches to program and are stored in the refrigerator located in the Day Room. Clients also have the option to buy lunch in the community. There is a snack bar/store available for clients to purchase their own food. Clients have personal lockers available for their personal belongings located in the Day Room. An uncontaminated water source for drinking is available for all clients in care.

Facility does disperse medications for 3 out of 34 clients in care. Medications were observed to be locked in a medication cart located in the Day Room. Cleaning supplies were observed to be locked in the supply closet. There are no clients with a Restricted Health conditions in the facility. First aid kit was observed and contained all required items.

(Continued on LIC809-C)
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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: NEW PATHWAYS
FACILITY NUMBER: 157203969
VISIT DATE: 06/04/2024
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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: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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