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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209064
Report Date: 12/15/2023
Date Signed: 12/15/2023 12:43:44 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/15/2023 12:43 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:RICHARDS RANCH LIVINGFACILITY NUMBER:
157209064
ADMINISTRATOR:RICHARD, LESLIEFACILITY TYPE:
735
ADDRESS:16732 PALM AVETELEPHONE:
(661) 587-4565
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93314
CAPACITY: 6CENSUS: 0DATE:
12/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Administrator, Leslie RichardTIME COMPLETED:
12:57 PM
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On 12/15/2023, Licensing Program Analyst (LPA) Walton arrived at the above facility to conduct an annual inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Leslie Richard.

The facility has not accepted any clients and has not employed staff since becoming licensed. Facility has adequate seating and lighting available. LPA observed required furnishings for resident bedrooms. Food supply checked. Kitchen is clean and safe for food preparation. Resident bathroom was clean and operational.

No fire clearance issues observed during today's inspection.

Administrator will notify the Fresno CCL office once the facility accepts it's first resident.

No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Leslie Richard, whose signature on this form confirms receipt of this document.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2023
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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