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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209192
Report Date: 03/28/2023
Date Signed: 03/28/2023 03:10:30 PM


Document Has Been Signed on 03/28/2023 03:10 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:BRIGHTON MANORFACILITY NUMBER:
157209192
ADMINISTRATOR:KAUR, LAKHWINDERFACILITY TYPE:
740
ADDRESS:305 ALUM BAY COURTTELEPHONE:
(661) 589-1500
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:6CENSUS: 5DATE:
03/28/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:53 PM
MET WITH:Manjit Chauhan
Lakhwinder Kaur
TIME COMPLETED:
03:34 PM
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On 3/28/23, Licensing Program Analyst (LPA) M. Medina arrived at the facility unannounced to conduct an Annual Required inspection. LPA introduced self and stated purpose of visit and allowed entrance by Direct Care Staff. Licensee Manjit Chauhan and Administrator Lakhwinder Kaur contacted by telephone and arrived a short time later to conduct inspection visit.

Currently, five (5) residents in care. Residents were all present during today's inspection. Residents were observed to be relaxing in the family room, resting in their bedroom and visiting with family.

Facility tour began in resident bedrooms. All bedrooms have required furnishings, linens observed to be clean and in good repair. Resident bathrooms toured. Fixtures observed to be clean and operational during inspection. All common area have adequate seating and lighting to meet the needs of residents. Kitchen tour conducted, a 2-day supply of perishable and a 7-day supply of non-perishable food present and properly stored. All knives are stored and secured in cabinet under kitchen island. Medications observed to be locked and secured in medication cart.

All cleaning supplies are locked and secured and inaccessible to residents. Smoke detectors and carbon monoxide detectors tested and observed operational during inspection. Fire drills are conducted quarterly, last fire drill was conducted in January 2023. Fire extinguisher present and has a service date of 12/20/2022.

Outside of the facility toured and no hazards were observed.

No deficiencies cited during this inspection.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2023
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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