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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 247201669
Report Date: 08/26/2022
Date Signed: 08/26/2022 03:22:16 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/26/2022 03:22 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:MISSION GARDENSFACILITY NUMBER:
247201669
ADMINISTRATOR:ELINA MOILANENFACILITY TYPE:
740
ADDRESS:1450 EAST 27TH STREETTELEPHONE:
(209) 384-3300
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY:15CENSUS: DATE:
08/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:06 PM
MET WITH:Administrator, Elina MoilanenTIME COMPLETED:
03:28 PM
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On 08/26/2022 Licensing Program Analyst (LPA) M. Garza arrived at facility to complete an infection control/annual visit. LPA contacted Administrator, Elina Moilanen and purpose of the visit was discussed. Administrator arrived some time later.

LPA was not COVID pre-screened at time of entry due to facility not having any staff/residents. LPA conducted a tour of facility inside and out was completed. Facility in good repair at time of visit. All resident rooms vacant. No food observed in the refrigerators and/or cupboards.

Administrator informed if facility should accept new residents, infection control practices should be in effect.

Exit interview completed. A copy of this report given.
SUPERVISOR'S NAME: See MouaTELEPHONE: (559) 580-4596
LICENSING EVALUATOR NAME: Mary GarzaTELEPHONE: (559) 365-9009
LICENSING EVALUATOR SIGNATURE:
DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/26/2022
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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