<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547208802
Report Date: 08/02/2021
Date Signed: 08/02/2021 09:47:24 AM

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:OPEN ARMS HOUSE, THEFACILITY NUMBER:
547208802
ADMINISTRATOR:JIMENEZ, SABRINAFACILITY TYPE:
740
ADDRESS:3234 W IRIS AVETELEPHONE:
(559) 713-6542
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:6CENSUS: 0DATE:
08/02/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator, Sabrina Jimenez via telephoneTIME COMPLETED:
09:50 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/02/2021, Licensing Program Analysts (LPAs) Walton and Yang arrived unannounced and attempted to conduct an Infection Control Annual Inspection. LPAs knocked on the door and contacted Administrator, Sabrina Jimenez via telephone and left a voicemail requesting Administrator return the call at approximately 9:05 AM.

At approximately 9:20 AM, LPAs made contact with Administrator via . Administrator is unable to attend this meeting. The facility currently has no residents and there are no staff present. LPAs will return at a later date to conduct the Annual Inspection.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 650-7914
LICENSING EVALUATOR NAME: Alexandria WaltonTELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1