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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209380
Report Date: 03/22/2024
Date Signed: 03/22/2024 04:09:04 PM

Document Has Been Signed on 03/22/2024 04:09 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:ASHRAM, INCFACILITY NUMBER:
157209380
ADMINISTRATOR:HARJEET KAURFACILITY TYPE:
775
ADDRESS:7500 DISTRICT BLVDTELEPHONE:
(661) 282-8428
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY: 210CENSUS: 0DATE:
03/22/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Administrator Harjeet KaurTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility announced to conduct a pre licensing inspection. LPA met with Administrator Harjeet Kaur, Khachatur "Chris" Ghasabyan, and Tigran Arutyunyan.

LPA toured the facility. Facility has cleaning supplies in a locked storage room. Medications will be locked in a locked cabinet. There was seating and tables for clients in each room. The facility has tables and chairs set up in one room. Water temperature in bathroom is measured at 116. 2 F. Facility has appropriate lighting.

There is a dining area with a sink and serving area. Facility does not have a stove and will not be serving food.

Facility has nine fire extinguishers. Carbon monoxide and smoke detectors are operational. Facility smoke detectors and carbon monoxide are hard wired with sprinkler system. Facility has pull station fire alarm.

Facility has Community Care Licensing Let Us Know poster posted in the front receptionist area.

Facility has a set of lockers in the front for clients to lock client's personal belongings.

Component III was conducted.

An exit interview was conducted with Administrator Harjeet Kaur and a copy of this report was provided.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Shawna Doucette
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2024
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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