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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209062
Report Date: 10/01/2020
Date Signed: 10/01/2020 02:12:25 PM

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:WAY MAKER HOME CARE INC.FACILITY NUMBER:
157209062
ADMINISTRATOR:OGLETREE, WINIGELDA B.FACILITY TYPE:
735
ADDRESS:5800 WINTER RIDGE DR.TELEPHONE:
(661) 900-0149
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:6CENSUS: 0DATE:
10/01/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Applicant/CEO/Administrator Winigelda "Wendy" Ogletree & sec/treas Ricky OgletreeTIME COMPLETED:
01:30 PM
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Consistent with federal guidelines and Executive Order issued by Governor Gavin Newsom to improve infection control and prevent the transmission of COVID-19 to our most vulnerable and high-risk residents, the Department conducted this inspection by phone and correspondence.

On this date Licensing Program Analyst (LPA) K. Mcclurg & LPA Katie Brown conducted a Prelicensing tele-visit with Applicant/CEO/Administrator Winigelda "Wendy" Ogletree & sec/treas Ricky Ogletree

Facility phone: 661-473-1112. Physical plant toured. Regulations reviewed. Facility is clean & in good repair. Interior & exterior passageways free of obstructions. Items that could pose a danger, such as disinfectants, cleaning solutions, etc., are inaccessible. Sufficient lighting & furnishings in dining, living, & resident bedrooms. Locked centralized storage area for medications. First aid kit complete. Physical plant is consistent with the facility sketch/floor plan. Fire extinguisher service date: 2/11/20. Smoke & carbon monoxide detectors tested & determined to be operational.

Facility is experiencing issues with hot water heater resulting in hot water temperature measured at 78 degrees F.

A Component III was conducted.

Pre-Licensing is incomplete with deficiency to be resolved by 10/5/20. A follow-up Pre-Licensing LIC809 will be generated upon resolution of deficiency

Exit interview conducted with Applicant/CEO/Administrator Winigelda "Wendy" Ogletree & sec/treas Ricky Ogletree. Report provided.
SUPERVISOR'S NAME: Andy XiongTELEPHONE: (559) 650-7904
LICENSING EVALUATOR NAME: Kelly J. McClurgTELEPHONE: (559) 246-0435
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2020
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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