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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547208849
Report Date: 05/31/2024
Date Signed: 06/02/2024 11:52:39 PM


Document Has Been Signed on 06/02/2024 11:52 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:GLORY DAYS ASSISTED LIVING INCFACILITY NUMBER:
547208849
ADMINISTRATOR:AGUILAR, MELINDAFACILITY TYPE:
740
ADDRESS:1303 S. PINKAM STTELEPHONE:
(559) 625-1452
CITY:VISALIASTATE: CAZIP CODE:
93292
CAPACITY:10CENSUS: 8DATE:
05/31/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Administrator (Admin) Melinda AguilarTIME COMPLETED:
06:00 PM
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An Annaul visit was conducted on the date & time indicated above by Licensing Program Analyst (LPA) K. Mcclurg. LPA met with Administrator (Admin) Melinda Aguilar. LPA stated purpose of visit & was allowed to proceed.

Physical plant toured. Physical plant toured. 2 day supply of perishable & 7 day supply of Non perishable food on the premises. Dining & living rooms have required seating & lighting. Client bedrooms toured. Bedrooms have required furnishings & lighting. Bathroom used by client(s) toured. Bathroom appeared to be clean with no unpleasant odors.

Locked storage observed for cleaning products & other hazardous items making them inaccessible to clients. Smoke detectors operational. Interior & exterior passageways observed to be clear with no obstructions.

Facility appeared to be clean with no unpleasant odors. Clients well groomed.
Medications observed to be locked & to be organized. First aid kit complete.
Resident files secured

Exit interview held with Admin. Report provided.
SUPERVISOR'S NAME: See MouaTELEPHONE: (559) 580-4596
LICENSING EVALUATOR NAME: Kelly J. McClurgTELEPHONE: (559) 246-0435
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2024
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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