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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206291
Report Date: 09/19/2023
Date Signed: 09/19/2023 01:07:06 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 09/19/2023 01:07 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:BRIDGE PROGRAM - BAKERSFIELDFACILITY NUMBER:
157206291
ADMINISTRATOR:DEANNA BROWNFACILITY TYPE:
772
ADDRESS:6744 EUCALYPTUS DRIVETELEPHONE:
(661) 363-8127
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY: 15CENSUS: 15DATE:
09/19/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator Deanna BrownTIME COMPLETED:
11:30 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 Administrator Deanna Brown. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Administrator. LPA used Case Management - Annual required due to system not pulling up facility's Annual 1 Year Required. LPA was unable to use the tool.

A tour of the facility was conducted with the Administrator. The facility was free of passageway obstructions inside and outside.

LPA Doucette observed 8 bedrooms in the facility. Residents' rooms were toured and inspected. Rooms were found to be clean. Hot water temperature was unable to be measured in resident bathrooms due to the laundry room having a leak. Plumber was contacted and is scheduled to be out to fix the issue today.

Kitchen toured, supply of food observed and food stored properly. Knives were stored in a locked in a storage room. Medications were stored in a locked Medication room. Cleaning supplies were in a locked in staff bathroom. First Aid Kit contained the required supplies. Smoke detectors and carbon monoxide detectors were checked. Facility is hard wired with pull station alarms and sprinkler system. Fire extinguishers were charged and had service dates of 8/10/23. Fire drill was last completed on 08/08/23.

There was outdoor seating for the residents.

Staff records were reviewed. Resident records were reviewed and medications. Current first aid and CPR were on file for staff.

An exit interview was conducted with the Administrator. A copy of this report was discussed and left with the Administrator, Deanna Brown, whose signature on this form confirm receipt of these documents.

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2023
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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