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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206660
Report Date: 04/17/2024
Date Signed: 04/17/2024 01:58:05 PM

Document Has Been Signed on 04/17/2024 01:58 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 HORIZONS HOMES COMMUNITY CARE FAC.INC.#5FACILITY NUMBER:
157206660
ADMINISTRATOR/
DIRECTOR:		WYATT, LORIFACILITY TYPE:
735
ADDRESS:4512 HAHN AVENUETELEPHONE:
(661) 396-1371
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 6CENSUS: 6DATE:
04/17/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:29 AM
MET WITH:Pending Administrator, Joye Mackey
Administrator, Rebeckah Wood		TIME VISIT/
INSPECTION COMPLETED:
01:53 PM
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Licensing Program Analyst (LPA) Darius Williams conducted an unannounced annual inspection visit. LPA Williams met with Pending Administrator, Joye Mackey and Administrator, Rebeckah Wood, and discussed the purpose of the visits. Four clients were present.

LPA Williams toured the facility with Joy.

Facility tour began in the front yard. The yard and pathways were clean and free of obstruction. Upon, entrance to the facility, LPA Williams observed required facility postings on the wall.

The kitchen was clean and in good repair. Knives and sharps were observed locked and inaccessible to clients. There were 2 days of perishable and 7 days of non-perishable food supplies.

Dining room and living room was clean and had seating available for all clients. Facility temperature reflected 71 degrees Fahrenheit.

LPA observed 2 bedrooms. Bedrooms had space for clients and were clean and in good repair. Rooms had mattress, linens, dresser, night stand, and working lights. Room were personalized by clients.

Bathroom for client use, was clean and in good repair. Shower, sink, and toilet all had running water.

Tour finished in the backyard. There was seating and shaded area available for client use.

Medications and chemicals were observed locked and inaccessible to clients.

*Continued on LIC-809C*
SUPERVISORS NAME: Serigy Pidgirny
LICENSING EVALUATOR NAME: Darius Williams
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2024
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 HORIZONS HOMES COMMUNITY CARE FAC.INC.#5
FACILITY NUMBER: 157206660
VISIT DATE: 04/17/2024
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Smoke detectors, carbon monoxide, and fire extinguishers were present and operational.

First aid kit was present and had all required items.

LPA reviewed 6 client files and 3 employee files. All files had all required documents requested by the LPA.

No deficiencies cited during this visit.

An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Serigy Pidgirny
LICENSING EVALUATOR NAME: Darius Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024
LIC809 (FAS) - (06/04)
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