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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 12:53:42 PM

Document Has Been Signed on 08/08/2023 12:53 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: 4DATE:
08/08/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Administrator Patrick HowardTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct a case management inspection regarding an incident that occurred on 7/13/23 and 08/04/23. LPA met with Administrator Patrick Howard.


Facility is working on putting a plan in place for C1's behaviors. C1 is currently in the hospital.


A copy of this report was provided to 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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