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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547208243
Report Date: 01/30/2023
Date Signed: 01/30/2023 12:01:53 PM

Document Has Been Signed on 01/30/2023 12:01 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:ENCLAVE AT THE FOOTHILLSFACILITY NUMBER:
547208243
ADMINISTRATOR:PEREZ, KRISTINAFACILITY TYPE:
735
ADDRESS:10650 ROAD 256TELEPHONE:
(559) 527-5091
CITY:TERRA BELLASTATE: CAZIP CODE:
93270
CAPACITY: 100CENSUS: 17DATE:
01/30/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Javier Hernandez, AdministratorTIME COMPLETED:
12:20 PM
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On 01/30/23, Licensing Program Analyst (LPA) M. Yang arrived announced to conduct a follow- of the change of status/increase in capacity inspection from visit on 01/03/23. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with Residential Services Coordinator (RSC) Michelle Garcia. Administrator Javier Hernandez was called and arrived shortly. LPA toured building 5 and building 6 with Administrator.

Building 5, Capacity: 40
LPA started tour started at building 5.
LPA observed dining room windows with binds.
LPA observed building to be cleaned.
Bathroom were observed to be functioning and cleaned.
Smoke detectors and carbon monoxide were observed to be operational during inspection.
Bathrooms temperature range from 105.6 to 114.6 degree.

Building 6, Capacity: 40
A tour of building 6 was conducted next.
LPA observed building to be cleaned.
All bathroom were observed to be functioning and cleaned.
Room 32 was observed with no disrepair.
Smoke detectors and carbon monoxide were observed to be operational during inspection.
Bathrooms temperature range from 106 to 118.6 degree.

The department have found building 5 and building 6 are ready to be occupant.
An exit interview was conducted. The department will send Licensee new license via mail. A copy of this report was provided to Administrator.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2023
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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