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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209351
Report Date: 10/26/2024
Date Signed: 10/26/2024 02:21:03 PM

Document Has Been Signed on 10/26/2024 02:21 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:MAGNOLIA SPRINGS-SUTTONFACILITY NUMBER:
157209351
ADMINISTRATOR/
DIRECTOR:		HOUCK, HELENFACILITY TYPE:
735
ADDRESS:2200 SUTTON PLACETELEPHONE:
(661) 664-7758
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 4CENSUS: 4DATE:
10/26/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Helen HouckTIME VISIT/
INSPECTION COMPLETED:
02:35 PM
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On 10/26/2024, Licensing Program Analyst (LPA), M. Medina conducted an unannounced Annual Required visit. LPA arrived, introduced self, stated purpose of visit, and allowed entrance by Co-Administrator, Claudia Ramirez. Helen Houck, License/Administrator contacted by telephone advise of inspection.

Facility observed to be clean, odor free, and a comfortable temperature. Currently, four (4) residents in care, all residents was present at time of inspection. Facility is a 4 bedroom, 2 bathroom home. There are four (4) private rooms. Living room area and dining room area observed to have adequate seating for residents. Kitchen toured, facility observed to have a 2-day of perishable and a 7-day of non-perishable food available. Additional freezer in the garage of facility. Knives observed to be locked and secured. Resident bedrooms toured and observed to have all required furnishings, resident bathroom toured and observed to have grab bars. Shower area observed to have grab bars, non-skid mat. Water temperature measured at 120 degrees F.

Carbon monoxide and smoke detectors present and observed operational during inspection. Fire extinguisher present with a service date of 5/14/2024. All chemicals observed to be locked and secured under kitchen sink and additional supplies secured in laundry area. Last fire drill conducted 9/30/24 according to facility records.

Outside of facility toured. All exits open free of obstruction. No hazards observed. Facility observed to have large covered patio with seating available outdoors. Pool is surrounded by a wrought iron gate, which was observed locked, secured, and inaccessible to residents.

No deficiencies cited during inspection.

To improve the quality and value of the inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. Note: The intent of the Facility Licensee Feedback Survey is to provide CDSS with information regarding the CARE Tools and inspection process.

If you have any questions regarding the inspection, please reach out to me or anyone at your RO. Website “For additional information regarding the inspection and its CARE Tools and methods, please visit the CARE Tools web page or the Inspection Process Project web page.

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 10/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/26/2024
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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