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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206725
Report Date: 05/30/2023
Date Signed: 05/30/2023 02:31:50 PM


Document Has Been Signed on 05/30/2023 02:31 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:HERITAGE LIVING IIFACILITY NUMBER:
157206725
ADMINISTRATOR:KAUR, GURINDERFACILITY TYPE:
740
ADDRESS:6401 REDINGER STTELEPHONE:
(661) 664-9535
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:6CENSUS: 6DATE:
05/30/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Administrator Sharnpreet Grewal and Administrator Lorena MalhiTIME COMPLETED:
12:45 PM
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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 Sharnpreet Grewal and Administrator Lorena Malhi. LPA disclosed the purpose of the visit and was granted entry into the facility by Administrator Lorena Malhi.

A tour of the facility was conducted with the Administrator. The residence was set at 77 F temperature and free of passageway obstructions inside and outside.

LPA Doucette observed 4 bedrooms in the residence and staff office. Residents' rooms were toured and inspected. Rooms were found to be clean. Hot water temperature was measured 115 F.

Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Medications were stored in a locked closet. Cleaning supplies were in a locked cabinet in the laundry room. F Smoke detectors and carbon monoxide detectors were checked and operating. Facility has a pull station fire alarm. Fire extinguishers were charged and had service dates of 6/8/22. Fire drill was last completed on 4/3/23.

There was outdoor seating for the residents.

Resident, medication and staff records were reviewed. Centrally stored log did not have a current log for a medication for C1. Current first aid and CPR were on file for staff.

No deficiencies observed.



An exit interview was conducted with the Administrator. A copy of this report was discussed and left with the Administrator, Lorena Malhi, whose signature on this form confirms receipt of these documents.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Shawna DoucetteTELEPHONE: (559) 580-4595
LICENSING EVALUATOR SIGNATURE:
DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/30/2023
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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