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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 275202549
Report Date: 08/27/2024
Date Signed: 08/28/2024 10:44:25 AM

Document Has Been Signed on 08/28/2024 10:44 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
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:MONTEREY BAY GUEST HOME #2FACILITY NUMBER:
275202549
ADMINISTRATOR/
DIRECTOR:
INNEH, EMMANUELFACILITY TYPE:
735
ADDRESS:645 WILLIAMS ROADTELEPHONE:
(831) 975-4970
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY: 40CENSUS: 36DATE:
08/27/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Licensee, Emmanuel InnehTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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
Licensing Program Analyst (LPA)'s S. Hurt and S.Doucette arrived at the facility unannounced to conduct an Required Annual Inspection. LPA's were granted entry by Licensee Emmanuel Inneh.

LPA's toured the facility with Licensee. LPA's observed cockroaches throughout the facility and in the food supply pantry. LPA's observed spider webs and spiders throughout the facility. In Rooms 12, 14 and 15 the carbon monoxide was inoperable. Thermostat in facility is inoperable. LPA's were unable to determine the temperature in the facility.

In resident bathrooms, LPA's observed mold on the ceiling, on the tile floor and around the outside of the toilet. Bathroom vents were dirty with spider webs. Walls and doors throughout the facility were dirty. Facility bathroom faucet was spraying water outside of the sink and onto the floor.

In resident bedrooms LPA's observed the mattress springs to be broken in several resident rooms. Some mattresses did not fit the beds in resident rooms. Resident bedrooms did not have a dresser. Resident rooms night stands had broken drawers and were dirty. Closet doors in several resident rooms were broken. Bedroom screens were broken in several rooms. Window coverings were broken in several rooms.

Fire extinguishers were serviced 2/20/2024. LPA's observed a complete first aid kit.

Due to time constraints LPA's will return at a later date to complete Annual Inspection.

Exit interview conducted with Emmanuel Inneh, and a copy of this report provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE: DATE: 08/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2024
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