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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206743
Report Date: 07/21/2023
Date Signed: 07/21/2023 10:52:49 AM


Document Has Been Signed on 07/21/2023 10:52 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:RODELIO L. ROURAFACILITY TYPE:
740
ADDRESS:10813 DELICATO CTTELEPHONE:
(661) 410-8022
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:6CENSUS: 0DATE:
07/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Rodelio RouraTIME COMPLETED:
09:45 AM
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On 7/21/23, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Inspection. LPA introduced self, stated purpose of visit and allowed entrance by Administrator, Rodelio Roura. Rodelio Roura serves as facility Administrator certification #6027980740, expires 9/04/23.

Currently, there are no residents in placement since September 2022. Facility appeared clean with no obstruction or fire clearance issues. All bedrooms are fully furnished with no personal belongings observed. Bathrooms observed to have non-slid mats and grab bars in the showers and near toilets. LPA observed locking cabinet in the kitchen for both medications and knives.

Fire extinguisher present and has a service date of 03/23/2023. Smoke detectors and carbon monoxide detectors present and observed to be operational during today's inspection. Water temperature measured at 120 degrees F.

No deficiencies were observed. Exit interview was conducted. A copy of this report was provided for facility records.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2023
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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