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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 275202849
Report Date: 12/06/2023
Date Signed: 04/25/2024 01:20:01 PM


Document Has Been Signed on 04/25/2024 01:20 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
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710



FACILITY NAME:IVY PARK AT SALINASFACILITY NUMBER:
275202849
ADMINISTRATOR:POST, SARAFACILITY TYPE:
740
ADDRESS:1320 PADRE DRIVETELEPHONE:
(831) 754-5532
CITY:SALINASSTATE: CAZIP CODE:
93901
CAPACITY:185CENSUS: 160DATE:
12/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator, Sara Post TIME COMPLETED:
10:30 AM
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Licensing Program Analysts (LPA's) Sarah Hurt and Lisa Salazar conducted an unannounced visit today for the facility’s annual inspection. LPA met with Administrator Sara Post Continual Administrator's Certification expires 08/29/2024. There are currently 163 residents who reside at this facility. LPA's inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable.


LPA's will return at a later date to review files, and conclude annual inspection.

There were no deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22.


Exit interview conducted with Administrator , Sara Post and copy of report left at facility

SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2023
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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