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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209298
Report Date: 07/25/2024
Date Signed: 07/25/2024 01:02:18 PM

Document Has Been Signed on 07/25/2024 01:02 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:BAKERSFIELD ARCFACILITY NUMBER:
157209298
ADMINISTRATOR/
DIRECTOR:		HONOR, KENNYFACILITY TYPE:
775
ADDRESS:4500 CALIFORNIA AVE, 2ND FLOORTELEPHONE:
(661) 834-2272
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 12CENSUS: 12DATE:
07/25/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Jeremiah HeitmanTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 7/25/2024, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA met with Jeremiah Heitman, Director of Program Operations and stated purpose of visit.

LPA Medina observed entire interior of building to require key card to access.

LPA toured the day program area and day program office during facility tour. LPA observed adequate seating and lighting available for clients. All furniture observed to be in good repair. Program is a community inclusion program, all clients were in the community at time of inspection.

LPA observed facility to be equipped with pull stations, strobe lights, and fire sprinklers through out building. Fire extinguisher observed to be present with a service date of 5/28/24.

During facility tour, LPA observed areas to be free of obstruction.

Exit interview conducted a copy of this report provided for facility records.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/25/2024
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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