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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547208243
Report Date: 08/06/2024
Date Signed: 08/06/2024 02:14:59 PM

Document Has Been Signed on 08/06/2024 02:14 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/
DIRECTOR:
HERNANDEZ, JAVIERFACILITY TYPE:
735
ADDRESS:10650 ROAD 256TELEPHONE:
(559) 527-5091
CITY:TERRA BELLASTATE: CAZIP CODE:
93270
CAPACITY: 100CENSUS: 13DATE:
08/06/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:11 AM
MET WITH:Carlos Bishop TIME VISIT/
INSPECTION COMPLETED:
02:35 PM
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On 08/06/2024, Licensing Program Analysts (LPAs) M. Medina and A. Walton arrived at the facility unannounced to conduct an Annual Required Inspection. LPAs introduced self, stated the purpose of the visit and allowed entrance to Facility. Administrator, Javier Hernandez was not available to conduct today's inspection. LPAs met with Carlos Bishop, Medication Services Manager to conduct facility tour.

LPAs conducted a tour inside and outside of facility. Facility tour began in occupied in Building #7, building observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. LPAs toured all resident bedrooms in building 7. Resident rooms appeared clean and had required furnishings. LPAs observed an adequate supply of linen. Resident bathrooms toured, water temperature measured at 117 degrees F. Kitchen toured, facility received weekly food delivery from US Foods. Facility observed to have a 2-day perishable food and 7-day of non-perishable food available. Exterior tour conducted, all exits open and free of obstructions. Medications observed to be locked and secured in medication room, medications observed to have original labels and be administered as prescribed.

Fire extinguishers were last serviced on 10/02/2023. Facility is equipped with fire sprinklers and pull stations. Carbon monoxide detectors observed to be functional during today's inspection. All cleaning supplies and toiletries observed to be locked and secured in laundry room.

LPAs reviewed staff and client records.

No deficiencies issued during today’s visit. Due to time constraints LPAs will return to complete inspection tool and continue visit.

Exit interview conducted with Medication Services Director, Carlos Bishop. A copy of this report was provided for facility records.

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2024
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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