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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209304
Report Date: 02/23/2023
Date Signed: 02/27/2023 08:46:45 AM


Document Has Been Signed on 02/27/2023 08:46 AM - 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:HALLMARK OF BAKERSFIELDFACILITY NUMBER:
157209304
ADMINISTRATOR:CANDELAS, ASHLEY L.FACILITY TYPE:
740
ADDRESS:2001 AKERS ROADTELEPHONE:
(661) 834-0200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
90036
CAPACITY:99CENSUS: 45DATE:
02/23/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:53 AM
MET WITH:Administrator, Ashley CandelasTIME COMPLETED:
11:17 AM
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Licensing Program Analyst (LPA) Darius Williams conducted an announced Pre-licensing inspection. LPA Williams met with Administrator, Ashley Candelas and discussed the purpose of the visit.

The tour began in the front lobby of the facility. LPA Williams observed a February activities schedule, personal rights, complaint LET US NO sign, and other various postings in the hallway.

LPA Williams observed four residents sitting in the the activities room.

LPA Williams observed a locked medical office. Inside the medical office are resident files and medication. A First aid kit was present with all required items.

LPA Williams observed smoke detector and carbon monoxide detectors. Fire extinguishers were present throughout the facility, with a service date of 12/5/2022.

LPA Williams checked the pantry and kitchen. The kitchen was sanitary and free of odor. Knives and sharps were locked behind a door, inaccessible to residents.

LPA Williams toured the first and second floor hallways and observed a bedroom. The bedroom had space to move around, a bed, functional light, and dresser.

LPA Williams observed two locked storage rooms with chemicals and other various items.



*Continued on LIC 9099-C*
SUPERVISOR'S NAME: Serigy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Darius WilliamsTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/23/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: HALLMARK OF BAKERSFIELD
FACILITY NUMBER: 157209304
VISIT DATE: 02/23/2023
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The outdoor patio was covered and had seating for residents. There is no pool on the premises.

Seven staff files were reviewed and confirmed for criminal record clearances.

LPA Williams concluded the tour and conducted an exit interview. A copy of this report will be provided via e-mail.

Component III was reviewed and completed.

At this time no license has been issued. LPA Williams will forward this report to the Central Applications Bureau for further review.
SUPERVISOR'S NAME: Serigy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Darius WilliamsTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2023
LIC809 (FAS) - (06/04)
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