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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206793
Report Date: 05/22/2024
Date Signed: 05/22/2024 12:29:36 PM

Document Has Been Signed on 05/22/2024 12:29 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:UNITED IN THE WESTFACILITY NUMBER:
157206793
ADMINISTRATOR/
DIRECTOR:		BLANCE ARTEAGAFACILITY TYPE:
735
ADDRESS:8101 FALLS CTTELEPHONE:
(661) 588-0636
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 3DATE:
05/22/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:54 AM
MET WITH:Blanca ArteagaTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 5/22/24, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA contacted Daniel Esparza, Supervisor by telephone to advise of facility inspection. Present during today's inspection were Daniel Esparza and Blanca Arteaga, Administrator.

Currently, there are three (3) residents in placement. Residents attend day program Monday through Friday 8:30 am - 2:30 pm. All residents were at program at time of inspection.

Facility tour conducted with Administrator. Resident bedrooms toured, all bedrooms observed to have required furnishings available and well lit. Resident bathrooms toured, all fixtures observed operational. Showers observed to have grab bars and non-skid mats available. Water temperature measured at 113 degrees F. All common areas observed to be clean, odor free, and have adequate seating available. Kitchen toured, facility observed to have a 2-day supply of perishable and 7-day of non-perishable available. All sharps observed to be locked and secured in lock box and stored in the kitchen pantry. All chemicals and cleaning supplies are locked and secured in hall closet. Medication observed to be locked and secured in medication cart and secured in staff office. Medication observed to have original labels, and administered as prescribed. Smoke detectors and carbon monoxide detector observed operational during inspection. Fire extinguisher present with a service date of 11/07/23. Last fire drill conducted on 5/02/2024 according to facility records.

Outside of facility toured. All exits open free of obstruction. Perimeter of back yard is secured with a fence and free of obstruction. Garage is locked and secured.

Exit interview conducted. No deficiencies cited.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/22/2024
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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