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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209423
Report Date: 08/30/2024
Date Signed: 08/30/2024 11:20:42 AM

Document Has Been Signed on 08/30/2024 11:20 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:ALBRAY MAXWELLFACILITY NUMBER:
157209423
ADMINISTRATOR/
DIRECTOR:		HEARD, CHARLESFACILITY TYPE:
775
ADDRESS:325 19TH STTELEPHONE:
(661) 342-1914
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY: 60CENSUS: 0DATE:
08/30/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Administrator, Charles HeardTIME VISIT/
INSPECTION COMPLETED:
11:33 AM
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On 08/30/2024, Licensing Program Analyst (LPA) Walton arrived for an announced pre-licensing continuation inspection. LPA introduced self and was granted entry to the facility. LPA met with Administrator, Charles Heard.

LPA conducted a tour of the facility and found that client bathrooms do not deliver hot water.

LPA is requesting that the facility repair faucets in 3 out of 3 bathrooms to allow for hot water to be delivered.

LPA will return at a later date to confirm if the repairs have been made.

LPA will notify CAB that the facility is ready to be licensed once the above corrections have been made.

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2024
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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