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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203990
Report Date: 08/08/2026
Date Signed: 08/08/2026 12:22:48 PM

Document Has Been Signed on 08/08/2026 12:22 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:ALLISON MORGAN RESIDENCEFACILITY NUMBER:
157203990
ADMINISTRATOR/
DIRECTOR:		ALLISON, KEVINFACILITY TYPE:
735
ADDRESS:7308 STELLA COURTTELEPHONE:
(661) 679-4946
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 3CENSUS: 2DATE:
08/08/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Mikala HaroTIME VISIT/
INSPECTION COMPLETED:
12:30 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 8/08/2026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA arrived, provided identification and allowed entrance by direct care staff. Staff contacted Licensee, Tori Morgan by telephone to advise of inspection visit. LPA spoke with Licensee by telephone and was unavailable to conduct today's inspection.

There are currently two (2) residents in care and both were present at time of inspection. .

LPA conducted a complete tour of the facility. Facility tour began in kitchen, LPA observed facility to not have an adequate 2-day supply of perishable food at time of inspection. LPA observed that facility did not have a 2-day supply of perishable food available at time of inspection. LPA observed facility without eggs, and no vegetables (lettuce/tomatoes) or cheese for resident dinner choice of tacos on this day. LPA observed pantry to have a 7-day of non-perishable food available at time of inspection. LPA observed live roaches in pantry at time of inspection. Knives observed to be locked and secured in kitchen drawer. Resident bedrooms toured. Resident 1 (R1) bedroom observed to have broken window blinds and in need of replacement, R1 bedroom had a urine smell at time of inspection and needs carpet to be cleaned. LPA observed resident 2 (R2) bedroom to have broken window blinds and in need of replacement. LPA observed air filter cover in hallway near R1 bedroom in need of cleaning, LPA also observed doors throughout facility in need of cleaning. Resident bathroom toured, fixtures observed to be operational, water temperature measured at 114 degrees F. LPA observed living room to have adequate seating available. LPA observed dining room table to have only 2 folding metal chairs for residents of which one was in living room for R1 to sit on.

Continued on 809-C
See Moua
Melinda Medina
DATE: 08/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2026
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 5
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
Page: 2 of 5
Document Has Been Signed on 08/08/2026 12:22 PM - It Cannot Be Edited


Created By: Melinda Medina On 08/08/2026 at 11:42 AM
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: ALLISON MORGAN RESIDENCE
FACILITY NUMBER: 157203990

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
80087(e)
All licensees serving children or serving clients who have physical handicaps, mental disorders, or developmental disabilities shall ensure the inaccessibility of pools, including swimming pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds or similar bodies of water through a pool cover or by surrounding the pool with a fence.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above, pool was unlocked and accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care. There was no key on site to lock and secure pool at time of inspection

Immediate civil penalty assessed in the amount of $500
POC Due Date: 08/09/2026
Plan of Correction
1
2
3
4
Licensee is to ensure pool is locked, secured and inaccessible to residents at all times. Licensee to ensure that facility has an additional key on site to lock and secure pool.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
See Moua
NAME OF LICENSING PROGRAM MANAGER:
Melinda Medina
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/08/2026


LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: ALLISON MORGAN RESIDENCE
FACILITY NUMBER: 157203990
VISIT DATE: 08/08/2026
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
26
27
28
29
30
31
32
Fire extinguisher was observed with a with purchase date of 8/14/2025. Smoke detector and carbon monoxide detectors observed operational at time of inspection. Cleaning supplies and chemicals were observed in the locked under kitchen sink.

Outside of facility toured. All exits open free of obstruction. Pool observed to have a perimeter gate that was observed unlocked and accessible to residents in care. There was no key on site to secure pool. Licensee notified via telephone. LPA observed a broken city trash bin for green waste that needs removal. Patio observed to have outdoor seating available. LPA observed patio to have an ash tray and cigarette ashes on patio. LPA observed 4 small wasp nests on patio near exit door that need to be treated and removed. Exit gate observed to be free of obstruction.

LPA will return at a later date to review medication, review staff and resident files and complete inspection tool.

Based on today’s visit, a deficiency is being cited, per California Code of Regulations, Title 22, Division 6, Chapter 8 on the attached 809-D.

An immediate Civil Penalty is being assessed in the amount of $500 for Accessible Bodies of water violation in accordance with the California Code of Regulations, Title 22.

Exit interview conducted via telephone and a copy of report provided to facility staff at time of inspection and will be emailed to licensee.
NAME OF LICENSING PROGRAM MANAGER: See Moua
NAME OF LICENSING PROGRAM ANALYST: Melinda Medina
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/08/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2026
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 08/08/2026 12:22 PM - It Cannot Be Edited


Created By: Melinda Medina On 08/08/2026 at 11:52 AM
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: ALLISON MORGAN RESIDENCE
FACILITY NUMBER: 157203990

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
80087(a)
The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation) the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/22/2026
Plan of Correction
1
2
3
4
Licensee will ensure that facility completes cleaning of facility and outdoor patio area, have carpet cleaned in R1 bedroom, replace window blinds in R1 and R2 bedroom, complete pest control service both inside and outside to treat for pests. Submit proof of completion to Fresno Regional office no later than due date.
Type B
Section Cited
CCR
85076(d)(1)
(d) The licensee shall meet the following food supply and storage requirements:

(1) Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation the licensee did not comply with the section cited above. LPA observed facility did not have a 2-day supply of perishable food available. LPA observed only 1/2 gallon of milk, facility had no eggs or vegetables (lettuce/tomatoes), cheese that were needed for resident choice of tacos for dinner on date of inspection which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/11/2026
Plan of Correction
1
2
3
4
Licensee to purchase a 2-day supply of perishable food for facility and submit receipt to Fresno Regional office by due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
See Moua
NAME OF LICENSING PROGRAM MANAGER:
Melinda Medina
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/08/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/08/2026


LIC809 (FAS) - (06/04)
Page: 5 of 5