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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206656
Report Date: 04/09/2024
Date Signed: 04/10/2024 08:58:38 AM

Document Has Been Signed on 04/10/2024 08:58 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:NEW HORIZONS HOMES COMMUNITY CARE FAC. INC. #1FACILITY NUMBER:
157206656
ADMINISTRATOR/
DIRECTOR:		WYATT, LORIFACILITY TYPE:
735
ADDRESS:3618 COLUMBUS STREETTELEPHONE:
(661) 871-9447
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY: 6CENSUS: 6DATE:
04/09/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:House Supervisor Joy Mackey and Administrator Rebecca WoodTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Licensing Program Analyst Shawna Doucette (LPA) arrived at the facility unannounced to conduct a Required Annual inspection. LPA was met by House Supervisor Joy Mackey and was granted entry into the facility. LPA spoke with Administrator Rebecca Wood who gave permissions for House Supervisor to handle the visit. Administrator Rebecca Wood responded to the facility to assist with the visit.

LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Facility was set at 70 F. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, appeared clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food. Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 113.6 degrees F. Exterior tour conducted, all exits open and free of obstructions.

Fire extinguisher serviced on 1/17/2024. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted 2/28/2024. All cleaning supplies are locked and secured in a cabinet in the garage. Medications were locked on a cabinet in the kitchen.

Medications were reviewed. Staff files and Resident files were reviewed. Staff have CPR/First aid training.

An exit interview was conducted with the Administrator and a copy of this report was provided.

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2024
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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