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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206743
Report Date: 05/02/2024
Date Signed: 05/03/2024 12:14:56 AM


Document Has Been Signed on 05/03/2024 12:14 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:ARCADIA GARDENS RESIDENTIAL CARE IIFACILITY NUMBER:
157206743
ADMINISTRATOR:SOCORRO ANN, TELMOFACILITY TYPE:
740
ADDRESS:10813 DELICATO CTTELEPHONE:
(661) 410-8022
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:6CENSUS: 5DATE:
05/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
05:04 PM
MET WITH:Administrator, Ann TelmoTIME COMPLETED:
06:00 PM
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On 05/02/24, Licensing Program Analyst (LPA) arrived at the facility unannounced to conduct a case management visit to return resident files previously obtained.. LPA was greeted by Staff S1, stated the purpose of the visit and was allowed entry into the facility. Administrator was called and arrived shortly after.

LPA delivered 2 resident files that were obtained on a previous visit. Both resident's no longer live in the facility. No deficiencies cited on today's visit.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Lisa SalazarTELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:
DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/02/2024
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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