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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155801220
Report Date: 03/24/2025
Date Signed: 03/24/2025 03:17:07 PM

Document Has Been Signed on 03/24/2025 03:17 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:MERCIE'S HOME #3FACILITY NUMBER:
155801220
ADMINISTRATOR/
DIRECTOR:
TAUCHEN, ADAMFACILITY TYPE:
740
ADDRESS:5808 CARISSA AVENUETELEPHONE:
(661) 861-9211
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 4CENSUS: 4DATE:
03/24/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:57 PM
MET WITH:Adam TauchenTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Licensing Program Analysts (LPA)'s Shawna Doucette and Jimmy Duarte arrived at the facility unannounced to conduct an Annual Inspection. LPA was granted entry by Administrator Adam Tauchen.

LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable
temperature. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, and was clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food. Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 107.8 degrees F.

Facility was set at 72 F. Exterior tour conducted, all exits open and free of obstructions. Side gate was
observed to be self-latching.

Fire extinguisher serviced on 10/11/2024. Smoke detectors and carbon monoxide detectors observed
operational during today’s inspection. Facility has a pull station fire alarm. Facility has sprinkler which was last inspected 12/5/24. Last fire drill conducted 03/03/25. All cleaning supplies are locked in a cabinet in the laundry room. Knives are locked in kitchen drawer.

An exit interview was conducted with the Administrator and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: Alexandria Walton
NAME OF LICENSING PROGRAM ANALYST: Shawna Doucette
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2025
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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