<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209062
Report Date: 10/28/2024
Date Signed: 10/28/2024 01:50:14 PM

Document Has Been Signed on 10/28/2024 01:50 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:WAY MAKER HOME CARE INC.FACILITY NUMBER:
157209062
ADMINISTRATOR/
DIRECTOR:		OGLETREE, WINIGELDA B.FACILITY TYPE:
735
ADDRESS:5800 WINTER RIDGE DR.TELEPHONE:
(661) 900-0149
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY: 6CENSUS: 6DATE:
10/28/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Winigelda OglestreeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/28/2024, Licensing Program Analyst (LPA), M. Medina conducted an unannounced Annual Required visit. LPA arrived, introduced self, stated purpose of visit, and allowed entrance by Caregiver. Licensee/Administrator was on site at time of LPA arrival. Licensee, Winigelda Ogletree also serves as facility Administrator, certificate #7034342735, expires 10/09/25.

Facility observed to be well lit, odor free, and a comfortable temperature. Currently, six (6) residents in care, all residents observed to be present at time of inspection. Facility is a 3 bedrooms, 2 bathroom home. All bedrooms are shared rooms. Living room area and dining room area observed to have adequate seating for residents. Kitchen toured, facility observed to have a 2-day of perishable available, however LPA did not observe a 7-day of non-perishable food available. Additional refrigerator/freezer are stored in the garage for facility. Knives observed to locked and secured near stove. Resident bedrooms toured and observed to have all required furnishings. LPA observed R1 and R2 beds to have half bed rails in place and no physician order. Resident bathroom toured and observed to have grab bars. Shower area observed to have grab bars, non-skid mat, and shower chair available. Water temperature measured at 107 degrees F.

Carbon monoxide and smoke detectors present and observed operational during inspection. Fire extinguisher present with a service date of 4/23/2024. All chemicals observed to be locked and secured in laundry room.

Outside of facility toured. All exits open free of obstruction. No hazards observed. Facility observed to have shaded area with seating available outdoors. Storage shed observed to be locked and secured.

Based on today's observations and per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 809-D. If not corrected, this poses a potential risk to the heath, safety and or personal rights of residents in care. An exit interview was conducted with Administrator and a copy of this report and appeal rights were discussed and provided via email with a read receipt as proof of delivery.

To improve the quality and value of the inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. Note: The intent of the Facility Licensee Feedback Survey is to provide CDSS with information regarding the CARE Tools and inspection process.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 10/28/2024 01:50 PM - It Cannot Be Edited


Created By: Melinda Medina On 10/28/2024 at 12:58 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: WAY MAKER HOME CARE INC.
FACILITY NUMBER: 157209062

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
80072(a)(8)(E)1
Personal Rights
1. A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. Bed rails that extend the entire length of the bed are prohibited except for clients who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 6 persons] which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/29/2024
Plan of Correction
1
2
3
4
Licensee to obtain a physician order for R1 and R2 for half bed rails for repositioning. Licensee to submit physician order to Fresno Regional Office by plan of correction due date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Melinda Hoffmann
LICENSING EVALUATOR NAME:Melinda Medina
LICENSING EVALUATOR SIGNATURE:
DATE: 10/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/28/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 10/28/2024 01:50 PM - It Cannot Be Edited


Created By: Melinda Medina On 10/28/2024 at 12:58 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: WAY MAKER HOME CARE INC.
FACILITY NUMBER: 157209062

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
85076(d)(1)
Food Service
(1) Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation], the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/01/2024
Plan of Correction
1
2
3
4
Licensee to purchase additional supply of non-perishable food and submit receipt to Fresno Regional Office by plan of correction due date. Facility staff purchased additional supply of non-perishable food at time of inspection. DEFICIENCY CLEARED AT TIME OF VISIT.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Melinda Hoffmann
LICENSING EVALUATOR NAME:Melinda Medina
LICENSING EVALUATOR SIGNATURE:
DATE: 10/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/28/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3