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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547203979
Report Date: 05/25/2022
Date Signed: 05/25/2022 01:57:07 PM

Document Has Been Signed on 05/25/2022 01:57 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:CURRY FAMILY CAREFACILITY NUMBER:
547203979
ADMINISTRATOR:CURRY, KARRI CECILLAFACILITY TYPE:
735
ADDRESS:1658 W. NORTH GRANDTELEPHONE:
(559) 784-1220
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY: 6CENSUS: 3DATE:
05/25/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:27 AM
MET WITH:Karri CurryTIME COMPLETED:
01:31 PM
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On 5/25/2022, LPA conducted an unannounced Annual Required Inspection. LPA met with Licensee/Administrator, Karri Curry and stated the purpose of the visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one entrance/exit point, all staff and visitors enter through front door.

Facility appeared clean with no obstruction or fire clearance issues. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathroom sink. Resident bedrooms toured, resident bedrooms with 2 occupants observed to have a minimum of 6 feet between beds.

Fire extinguisher present and has a service date of 02/23/2022. Carbon monoxide detector and smoke detectors present and observed to be operational during today's inspection.

All medication observed to be locked and secured, residents have a minimum of 30 day supply of medication available. Facility has adequate supply of PPE available.

No deficiencies observed during inspection.

Exit interview conducted. Facility report signed at time of inspection. Copy of report provided for facility records.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2022
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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