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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547209067
Report Date: 12/14/2020
Date Signed: 12/15/2020 01:16:10 PM

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:RONO GARDENSFACILITY NUMBER:
547209067
ADMINISTRATOR:FLORENTINO, MARKFACILITY TYPE:
740
ADDRESS:2547 N. RONO STREETTELEPHONE:
(626) 278-8371
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:6CENSUS: 0DATE:
12/14/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Mark Florentino, Administrator TIME COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA) Lady Cabrera and Sergiy Pidgirny, LPM I conducted a Pre-licensing Tele visit via Microsoft Teams Meeting due to COVID-19 and pre-cautionary measures. LPA and LPM identified themselves and discussed the purpose of the call. LPA conducted the inspection with Administrator, Mark Florentino using the Inspection Tool. A tour inside and outside the facility was conducted.

Common rooms have adequate furnishings and lighting. All client’s bedrooms have all the required furnishings (bed and dresser) and adequate lighting. Mattresses and box springs were in good condition. LPA observed a supply of extra bed linens and personal hygiene and grooming products. Bathrooms were properly equipped, and trash cans had a fitting lid.

Hot water temperature was observed to be 115 degrees F. Kitchen observed to have dishes, plates, utensils. Sharps/knives are locked. Cleaning supplies are stored in a locking cabinet. Medications are locked in a cabinet. First aid kit contains all the required items. Two fire extinguishers are present and were purchased in August 2020. Smoke detectors and carbon monoxide were operating properly.



Outside of the facility toured. Exits open free of obstruction. No outside hazards were observed. Administrator will purchase outside seating furniture.

All required postings are posted. Facility phone number will be (559) 754-2853

Component III was conducted during pre-licensing visit with Applicant.

Pending Licensure with CAB.
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2020
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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