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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206776
Report Date: 02/03/2025
Date Signed: 02/03/2025 10:50:37 AM

Document Has Been Signed on 02/03/2025 10:50 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:EUCALYPTUS HOUSEFACILITY NUMBER:
157206776
ADMINISTRATOR/
DIRECTOR:		GREENHALGH, STELLAFACILITY TYPE:
735
ADDRESS:7708 SPROAT WAYTELEPHONE:
(661) 282-5687
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 5CENSUS: DATE:
02/03/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Administrator: Stella Greenhalgh TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 2/3/25 Licensing Program Analyst (LPA) J. Leffall conducted a Health and Safety visit to the facility. LPA stated purpose of visit and met with Administrator (A1) Misty Veason.

LPA toured facility and conducted a Health and Safety check. LPA requested R1’s file to include Admission Agreement, Physician’s Report, Medical Assessments, and charts.

At this time, this requires additional follow-up.

Copies of R1’s file was obtained for review.

Exit Interview conducted.

SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE: DATE: 02/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/03/2025
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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