<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 207201518
Report Date: 08/30/2021
Date Signed: 08/30/2021 04:36:26 PM

Document Has Been Signed on 08/30/2021 04:36 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:SVS OAKHURST ADULT DAY PROGRAMFACILITY NUMBER:
207201518
ADMINISTRATOR:RICHARD A SOWERSFACILITY TYPE:
775
ADDRESS:49234 GOLDEN OAK DRIVETELEPHONE:
(559) 692-2922
CITY:OAKHURSTSTATE: CAZIP CODE:
93644
CAPACITY: 75CENSUS: 2DATE:
08/30/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Annette Brade - Regional DirectorTIME COMPLETED:
10:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 8/30/2021, Licensing Program Analyst(LPA) D. Ayers arrived at facility unannounced to conduct a Required Annual Inspection. LPA met with Regional Director Annette Brade.

LPA toured facility inside and out. All passageways and exits were clear and free from obstruction. Fire extinguishers were present and have been serviced. All spaces had adequate seating and lighting. Facility kitchen was clean and serviceable. Bathrooms were odor free, clean and serviceable. LPA and Regional Director reviewed infection control guidelines and best practices.

Exit interview conducted. No deficiencies cited during the inspection. A copy of the report was provided to the licensee via email.
SUPERVISORS NAME: Andy Xiong
LICENSING EVALUATOR NAME: David Ayers
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1