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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203358
Report Date: 10/16/2024
Date Signed: 10/16/2024 09:38:28 PM

Document Has Been Signed on 10/16/2024 09:38 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:POSITIVE DIRECTIONS #9FACILITY NUMBER:
157203358
ADMINISTRATOR/
DIRECTOR:		MARIA ORTIZFACILITY TYPE:
740
ADDRESS:329 EL CAMINO DRIVETELEPHONE:
(661) 721-3525
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY: 4CENSUS: 3DATE:
10/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:56 PM
MET WITH:Miriam DelaCruz, Caregiver TIME VISIT/
INSPECTION COMPLETED:
06:38 PM
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On 10/14/24, Licensing Program Analysts' (LPA) L. Salazar and M. Medina arrived to the facility unannounced to conduct a case management visit . LPAs' were greeted by staff, stated the purpose of the visit and and were allowed entry into the facility.

LPAs' observed 3 residents at the time of visit. 2 of the residents were eating dinner at the table and 1 resident was being assisted by staff in their room. LPAs toured R1's bedroom and hallway bathroom. Bedroom temperature measured at 83 degrees F. Water temperature in the shower was tested and measured 109 degrees F.

Exit interview conducted. Due to technical difficulties, a copy of this report will be provided via email, with a read receipt as proof of delivery. No deficiencies cited on todays visit.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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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