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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208899
Report Date: 02/14/2023
Date Signed: 02/14/2023 12:34:01 PM

Document Has Been Signed on 02/14/2023 12:34 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:SAILS STELLARFACILITY NUMBER:
157208899
ADMINISTRATOR:JONES, ERINIQUEFACILITY TYPE:
735
ADDRESS:11708 STELLAR AVETELEPHONE:
(661) 473-2346
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 4DATE:
02/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:18 AM
MET WITH:Jose Marquez ValdezTIME COMPLETED:
12:39 PM
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On this date 2/14/23, Licensing Program Analyst (LPA) Medina conducted an Annual Required Inspection. LPA met by Administrator, Jose Marquez Valdez. LPA Medina introduced self, stated purpose of visit and allowed entrance. All COVID-19 guidelines observed to be in place.

Facility toured. All common areas have adequate seating for residents. Resident bedrooms observed to have required furnishings, all bedrooms are private. Kitchen toured, facility observed to have 2-day supply of perishable food and a 7-day supply of non-perishable food available. Medication observed to be locked and secured in hallway closet. All residents have a 30-day supply of medication available.

Fire extinguisher present and current. Carbon monoxide and smoke detectors present and observed operational during today's inspection. Facility is equipped with a pull station and auditory alarms.

All cleaning supplies are locked and secured in garage cabinet.

Outside toured, all fire exits are free of obstruction.

No deficiencies were observed. Exit interview was conducted. Report signed during inspection and a copy left for facility file.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2023
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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