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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208773
Report Date: 09/21/2022
Date Signed: 09/23/2022 10:44:37 AM


Document Has Been Signed on 09/23/2022 10:44 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:JASMIN TERRACE AT BAKERSFIELDFACILITY NUMBER:
157208773
ADMINISTRATOR:ELECO, RAMONA D.FACILITY TYPE:
740
ADDRESS:5400 STINE ROADTELEPHONE:
(661) 398-8802
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:99CENSUS: 83DATE:
09/21/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:00 PM
MET WITH:Ramona Eleco, AdminsitratorTIME COMPLETED:
09:45 PM
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On 09/21/22, Licensing Program Analysts (LPAs) L. Salazar and V. Gorban arrived at the facility unannounced to conduct a case management visit based on information received that staff were not wearing masks in the facility. LPAs were greeted by Administrator, stated purpose of the visit and were allowed entry into the facility. COVID precautionry measures were taken at the time of entry.

LPAs toured the facility and observed staff members to be wearing masks throughout the facility. LPAs met with Administrator and provided technical assistance for the latest State Public Health Officer Order from California Department of Public Health (CDPH) dated September 13, 2022 which updates the Coronavirus Disease 2019 (COVID-19) guidance for ASC facilities effective September 17, 2022.

No deficiencies cited on this visit.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Lisa SalazarTELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2022
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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