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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208899
Report Date: 02/08/2024
Date Signed: 02/08/2024 01:37:15 PM

Document Has Been Signed on 02/08/2024 01:37 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:VALDEZ, JOSE MARQUEZFACILITY TYPE:
735
ADDRESS:11708 STELLAR AVETELEPHONE:
(661) 570-3298
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 4CENSUS: 4DATE:
02/08/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Jose Marquez ValdezTIME COMPLETED:
01:50 PM
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On 2/08/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA conducted facility tour with Administrator, Jose Marquez Valdez.

Currently, four (4) residents at facility. Two (2) residents were present during today's inspection. LPA conducted a complete tour of the facility. Facility was observed at a comfortable temperature. The tour started in the residents' rooms. Residents bedrooms were observed to be adequately furnished with bed, dresser, and adequate lightning. Kitchen toured, LPA observed to have adequate food supply for residents. Bathrooms were properly equipped and fixtures operational. Hot water was tested at 116 degrees F in the bathrooms. Common areas were properly furnished and well-lit throughout. All medications observed to be locked and stored in hall closet. Medications reviewed and observed to have original labels and observed to be administered as prescribed.

Fire extinguisher was observed with a service date of 2/02/2024. Smoke detectors and carbon monoxide detector observed operational during today's inspection. All cleaning supplies observed to be locked and secured in garage cabinet. Last fire drill conducted on 2/02/2024.

Outside of facility toured. All exits open free of obstruction.

Staff and resident files reviewed.

No deficiencies observed. Exit interview conducted and a copy of report provided for facility records.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2024
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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