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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209192
Report Date: 02/14/2024
Date Signed: 02/14/2024 12:40:29 PM


Document Has Been Signed on 02/14/2024 12:40 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: 6DATE:
02/14/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:17 AM
MET WITH:Manjit ChauhanTIME COMPLETED:
12:55 PM
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On 2/14/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA introduced self, stated purpose of visit, and allowed entrance by caretaker. Licensee, Manjit Chauhan contacted by telephone and arrived a short time later to conduct inspection visit.

All residents were present during today's inspection. Facility tour conducted with Licensee. Facility observed to be well lit, clean and odor free. All common areas have adequate seating available. Resident bedrooms toured, all bedrooms observed to have required furnishings. Bathrooms toured, showers observed to have non-slid mats, shower chairs, and grab bars. Water temperature during facility inspection measured at 116 degrees F. Kitchen toured, facility observed to have a 2-day supply of perishable food and 7-day of non-perishable food available. Knives observed to be locked and secured in kitchen cabinet. Medication observed to be locked and secured in medication cart. Medication reviewed and observed to have original labels and observed to be administered as prescribed. Smoke detectors and carbon monoxide detector observed operational during inspection. Fire extinguisher present with a service date of 12/18/2023. All chemicals observed to be locked and secured in laundry room.

Outside of facility toured. All exits open free of obstruction. No hazards observed.

Staff and resident files reviewed and interviews conducted.

No deficiencies cited. Exit interview conducted and a copy of report provided for facility records.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 341-3247
LICENSING EVALUATOR NAME: Melinda MedinaTELEPHONE: (559) 410-5914
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2024
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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