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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208810
Report Date: 10/13/2021
Date Signed: 10/13/2021 01:19:26 PM

Document Has Been Signed on 10/13/2021 01:19 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:COLE VOCATIONAL SERVICES BAKERSFIELD 2FACILITY NUMBER:
157208810
ADMINISTRATOR:MADKINS, JEANETTEFACILITY TYPE:
775
ADDRESS:5101 MING AVETELEPHONE:
(661) 834-8700
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 75CENSUS: 5DATE:
10/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Program Director Jeanette MadkinsTIME COMPLETED:
11:00 AM
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Licensing Program Analyst LPA Shawna Doucette conducted an Annual Inspection on this date. LPA was met by Staff Estela Caldoza and discussed the purpose of the visit. Program Director Jeanette Madkins began the tour at the front entrance of the facility.

Visitor log-in/temperature check, masks, and disinfection station was observed upon entry. Facility has one entrance/exit point. Hand sanitizer was readily available for clients and visitors. Social distancing is maintained in the common areas. Hand washing and other various Covid-19 related signs were observed in the common areas. Facility is currently operating through zoom meetings with limited number of clients in the facility. Facility delivers activity packets for clients to complete.

Cleaning supplies were observed in a locked storage room. LPA observed the following personal protective equipment in a room; hand sanitizer, gowns, face shield, gloves, and masks. Staff records were reviewed for infection control training and Program Director will submit copies of tomorrows training. LPA observed all facility staff wearing masks. Client files have updated emergency contact information.

No deficiencies were observed.

Exit interview was conducted and a copy of this report was provided via email.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2021
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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