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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208865
Report Date: 08/08/2023
Date Signed: 08/08/2023 12:28:52 PM

Document Has Been Signed on 08/08/2023 12:28 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:ENDLESS POSSIBILITIES SERVICES INCFACILITY NUMBER:
157208865
ADMINISTRATOR:HOWARD, PATRICKFACILITY TYPE:
735
ADDRESS:8416 ANDROMEDA LANETELEPHONE:
(661) 404-4557
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY: 4CENSUS: 3DATE:
08/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Lead Staff Paola Martinez and Administrator Patrick HowardTIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA's met with Lead Staff Paola Martinez and Administrator Patrick Howard. LPA's disclosed the purpose of the inspection and was granted entry by Staff Paola Martinez.

A tour of the facility was conducted with Lead Staff Paola Martinez. The residence was set at 72 F temperature and free of passageway obstructions inside and outside.

Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Medications were stored in a locked Medication cabinet. Cleaning supplies were in a locked in cabinet under kitchen sink and in laundry room. Smoke detectors and carbon monoxide detectors were checked and operating. Facility has a pull station fire alarm. Fire extinguishers were charged and had service dates of 09/02/22. Fire drill completed monthly. Water temperature measured at 117.1 F.

There was outdoor seating for the residents. No pools or bodies of water.

Resident, medication and staff records were reviewed. Current first aid and CPR were reviewed.

A copy of this report was provided to the Administrator.

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2023
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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