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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208773
Report Date: 10/25/2022
Date Signed: 10/25/2022 11:42:36 AM


Document Has Been Signed on 10/25/2022 11:42 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: 82DATE:
10/25/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:42 AM
MET WITH:Ramona Eleco, Administrator TIME COMPLETED:
11:58 AM
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On 10/25/22, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to conduct Plan of Correction visit. LPA was greeted by Administrator, explained the purpose of the visit and was allowed entry into the facility.

During a visit on 09/21/22, deficiencies were cited. Administrator completed the Plans of corrections prior to due date and all deficiencies have been cleared. LPA provided Administrator with a plan of correction letter evidencing the corrections were made.

An exit interview conducted. No deficiencies cited.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Lisa SalazarTELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2022
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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