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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 405850147
Report Date: 03/14/2024
Date Signed: 03/14/2024 02:08:05 PM


Document Has Been Signed on 03/14/2024 02:08 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364



FACILITY NAME:ALL SEASON CAREFACILITY NUMBER:
405850147
ADMINISTRATOR:ESTOQUE, ANALYN MFACILITY TYPE:
740
ADDRESS:1637 LEAH WAYTELEPHONE:
(805) 234-2500
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:6CENSUS: 5DATE:
03/14/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:48 AM
MET WITH:Licensee/Administrator Analyn EstoqueTIME COMPLETED:
02:20 PM
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 At 11:33am, on 03/14/2024, Licensing Program Analyst (LPA) Jeffries arrived at the facility unannounced to conduct the annual facility inspection. LPA met with licensee/administrator, Amaylyn Estoque, and announced who he was and the reason for the visit.

Licensee and LPA conducted a full tour of the entire facility. This facility is a five bedroom, three
bathroom, two living rooms, kitchen and dining room layout with laundry room and garage, there is an backyard patio with umbrella for shade. Medications are locked in a cabinet in the dinning room area and staff and client files are locked in a enclave of the dining room. The facility has battery operated fire alarms in each room that are all working and in the green, the carbon monoxide detector is in the hallway and functioning normally. All the door ways and exits are free and clear of debris and hazards. LPA observed a working fire extinguisher near the kitchen dining room area. LPA tested facility water and was within regulation temperatures 105*-120* (f). LPA observed at least 2 days of perishable and at least 7 days of non perishable foods. LPA noted that the back yard and the front yard both have seating and shade from residents and visitors. LPA noted that the facility was clean and in good repair. LPA noted that the cursory tour did not indicate any violations, technical or citations during the full inspection tour walk through. LPA noted that there were no technical or citations issued during the infection control module of the annual inspection walk through.

Administrator and LPA conducted the full review of the annual care tools modules. LPA noted that there were no violations, technical or citations issued during this annual inspection. LPA noted that for the full annual facility inspection there were n0 technical, violations, or citations.


Exit interview, report signed, and report provided.
SUPERVISOR'S NAME: Kelly BurleyTELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Mark JeffriesTELEPHONE: (805)562-0400
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2024
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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