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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206725
Report Date: 06/24/2021
Date Signed: 06/25/2021 08:23:55 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/25/2021 08:23 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:HERITAGE LIVING IIFACILITY NUMBER:
157206725
ADMINISTRATOR:KAUR, GURINDERFACILITY TYPE:
740
ADDRESS:6401 REDINGER STTELEPHONE:
(661) 664-9535
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY: 6CENSUS: 6DATE:
06/24/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Tina Malhi-LicenseeTIME COMPLETED:
12:30 PM
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On this date, Licensing Program Analyst(LPA) D. Ayers arrived at the facility unannounced to conduct a required annual inspection. LPA met with Licensee Tina Malhi and Loree Malhi. LPA announced the purpose of the visit.

LPA toured the facility inside and outside. All passageways and exits were clear and free from obstruction. The carbon monoxide and smoke detectors were functioning properly. The facility was adequately furnished and at a comfortable temperature. LPA toured resident bedrooms and bathrooms. All bedrooms are adequately furnished and lit. Bathrooms have required secure grab bars and nonskid mats. Facility had first-aid kit with required items. LPA observed a sufficient supply of perishable and non-perishable food stuffs. LPA and Licensee reviewed infection control guidelines and best practices.

No deficiencies were cited during the inspection. Exit interview was conducted. A copy of the report was provided via email.

SUPERVISORS NAME: Andy Xiong
LICENSING EVALUATOR NAME: David Ayers
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2021
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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