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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 275202549
Report Date: 08/15/2023
Date Signed: 08/17/2023 11:42:32 AM


Document Has Been Signed on 08/17/2023 11:42 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710



FACILITY NAME:MONTEREY BAY GUEST HOME #2FACILITY NUMBER:
275202549
ADMINISTRATOR:INNEH, EMMANUELFACILITY TYPE:
735
ADDRESS:645 WILLIAMS ROADTELEPHONE:
(831) 975-4970
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:40CENSUS: 36DATE:
08/15/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Administrator, Emmanuel InnehTIME COMPLETED:
05:30 PM
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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to conduct a Case Management visit. LPA Hurt met with facility Administrator Emmanuel Inneh and explained the purpose of today's visit.


LPA Hurt was notified of an incident with Resident 1, pushing Resident 2.
Resident 1 is currently incarcerated for breaking the facility front window. LPA Hurt has observed Resident 1 screaming loud and aggressive in front of facility clients on recent visits to this facility.

Staff 1 stated they are aware the facility clients have access to recreational drugs when they leave the facility. Staff 1 stated it is against the house rules for clients to use recreational drugs inside this facility, and he gives them written warnings when the house rules are broken.

LPA Hurt advised Staff 1 of the importance of all facility clients being comfortable in the facility, and not exposed to drug use, or hostility from other clients.

LPA Hurt will provide Technical Violation on Personal Rights of residents inside the facility.

Exit interview conducted with Administrator Emmanuel Inneh, and a copy of this report provided.
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2023
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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