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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392700498
Report Date: 05/17/2023
Date Signed: 05/17/2023 01:47:26 PM

Document Has Been Signed on 05/17/2023 01:47 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
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:BRIGHT FUTURES 3FACILITY NUMBER:
392700498
ADMINISTRATOR:FERLANDO JACKSONFACILITY TYPE:
735
ADDRESS:14151 N TULLY RDTELEPHONE:
(209) 727-5350
CITY:LODISTATE: CAZIP CODE:
95240
CAPACITY: 5CENSUS: 4DATE:
05/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Pamela McGrew, AdministratorTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Renee Campbell conducted an unannounced Annual 1-Year Required visit on this date. LPA met and toured with Administrator, Pamela McGrew. The administrator currently holds a certificate (#6023728735) that expires on 01/2025.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. There was pool present at the facility that was observed. A comfortable temperature is maintained at 74 degrees Fahrenheit. The hot water temperature is maintained at 111 degrees Fahrenheit. All outdoor and indoor passageways were kept free from obstruction. Rooms were furnished appropriately. There was an adequate supply of toiletries, hygiene supplies, and extra linens. LPA observed clients’ linens were in good repair. There is a minimum of 7-day nonperishables and 2-day perishables foods.

The last disaster/fire drill was last conducted on 05/06/2023. Fire extinguishers, smoke detectors and carbon monoxide were checked. LPA reviewed 2 of 4 resident files and 3 of 6 staff record files and the facility has sufficient staffing to provide the services needed to meet the clients’ needs. All staff have criminal record clearance and are associated to the facility. LPA Campbell inspected pool area. All entries to the pool are locked and inaccessible to residents.

No deficiencies issued during the visit.

Exit interview conducted with Administrator and a copy of this report was provided.
SUPERVISORS NAME: Emerita Curiel
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2023
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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