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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157202423
Report Date: 02/12/2025
Date Signed: 02/12/2025 12:16:21 PM

Document Has Been Signed on 02/12/2025 12:16 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:SPRING HOMEFACILITY NUMBER:
157202423
ADMINISTRATOR/
DIRECTOR:		NEBRIDA, OFELIA CUDALFACILITY TYPE:
740
ADDRESS:8722 HOODSPORT AVETELEPHONE:
(661) 587-6177
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 5CENSUS: 5DATE:
02/12/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Ofelia NebridaTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 2/12/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection visit. LPA arrived, stated purpose of visit, and allowed entrance by Administrator, Ofelia Nebrida.

Currently, 5 residents in care. Four (4) residents were present at the start of today's inspection. Facility tour conducted with Administrator. Facility observed to be well lit, odor free, and comfortable temperature. LPA observed residents engaging in activities with staff during inspection. Facility living room and dining room observed to have adequate seating available. Resident bedrooms toured, bedrooms observed to have all required furnishings. Resident bathrooms toured, water temperature measured at 113 degrees F. Bathrooms observed to have grab bars in the shower and near toilet. Shower also has shower chair and non-skid mat available. LPA observed kitchen to have all sharps and utensils locked and secured in kitchen drawers. Facility observed to have a 2-day supply of perishable food and a 7-day supply of non-perishable food available. Medications are centrally stored and locked in kitchen cabinet. All medications observed to have original labels and be administered as prescribed.

Outside of facility toured. Facility has an outdoor shaded seating area available for residents. Exits open free of obstruction.

Fire extinguisher present with a service date of 07/02/2024. Smoke and Carbon Monoxide detectors present and observed operational. Last Fire drill conducted 12/02/24 according to facility records.

LPA reviewed resident and staff files, and Disaster Binder.

No deficiencies were cited during this inspection. Exit interview was conducted and a copy of this report provided for facility records.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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