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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209509
Report Date: 10/24/2024
Date Signed: 10/25/2024 08:10:48 AM

Document Has Been Signed on 10/25/2024 08:10 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:IDEAL CARE CENTERS 2FACILITY NUMBER:
107209509
ADMINISTRATOR/
DIRECTOR:		IDONI, GREGORYFACILITY TYPE:
740
ADDRESS:2020 N TEILMAN AVETELEPHONE:
(559) 369-7689
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY: 12CENSUS: 0DATE:
10/24/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:21 PM
MET WITH:Greogory IdoniTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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 10/24/2024, Licensing Program Analyst (LPA) M. Medina conducted an announced Pre-licensing inspection. LPA introduced self, stated the purpose of the visit, and was granted entry into the facility. LPA met with Licensee Gregory Idoni. LPA toured facility with licensees, The facility is 6 bedroom and 3 bathroom home. Fire clearance granted for twelve (12) non-ambulatory residents of which six (6) may be bedridden.

Inside of tour conducted, common areas were furnished and had adequate seating and lighting available. Facility temperature observed at 74 degrees F. All bedrooms were observed to have required furnishings. Kitchen was toured and observed to have dishes, plate, and utensils. Facility has 7-day supply of non-perishable food available as of date of inspection. Knives to be locked and secured in kitchen drawer. Medication will be locked and secured in hallway cabinet. Resident bathrooms toured, all bathrooms are equipped with

Outside of facility toured. Perimeter of facility is surrounded by a fence. There are two entrance, a pedistrian gate and a gate to facility parking area. LPA observed all exits to open free of obstruction. Outside of facility observed to have several items on the front porch and perimeter and near east side of facility that require removal and/or storage.

Cleaning supplies and chemicals will be locked and secured in cabinet in under kitchen sink, and in locked cabinet in laundry room. Fire extinguisher present with a purchase date of 7/10/24. Smoke detectors and carbon monoxide detectors were observed to be operational during this inspection. Water temperature measured at 112 degrees F. First Aid kit present and missing thermometer and first aid book. Facility has a telephone which was observed operational at time of inspection.

LPA will conduct follow-up pre-licensing visit once the following items have been completed:

1) Front porch has empty 5-gallon buckets, empty shelf, empty boxes, construction pipes, gardening tools

2) East side of facility has miscellaneous boards and ladder

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: IDEAL CARE CENTERS 2
FACILITY NUMBER: 107209509
VISIT DATE: 10/24/2024
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
26
27
28
29
30
31
32
3) On north side of facility in flower bed there is a large pole with cement base that requires removal.

4) First Aid kit missing thermometer and first aid manual.

LPA will conduct follow-up inspection when repairs and completed.

Component III conducted with licensees during pre-licensing inspection.

No deficiencies cited during today's inspection.

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2