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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206762
Report Date: 03/29/2023
Date Signed: 03/29/2023 11:27:24 AM

Document Has Been Signed on 03/29/2023 11:27 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:ARCADIA FAMILY CARE IIFACILITY NUMBER:
157206762
ADMINISTRATOR:YATCO, JERRY A.FACILITY TYPE:
740
ADDRESS:13208 INDURAN DR.TELEPHONE:
(661) 829-7401
CITY:BAKERSFIELD,STATE: CAZIP CODE:
93312
CAPACITY: 6CENSUS: 0DATE:
03/29/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:06 AM
MET WITH:Jerry YatcoTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) M. Medina conducted an Annual Required Inspection. LPA introduced self and stated purpose of visit. LPA met with Administrator, Jerry Yatco to conduct facility inspection.

Currently, facility has no residents in care. Facility tour conducted and facility observed to be clean and odor free. Adequate seating and lighting observed in both the living room and dining room. Resident bedrooms have all required accommodations. Resident bathrooms toured, all bathrooms are equipped with grab bars and non-skid mats. Water temperature measured within regulation requirements. Kitchen toured, LPA observed a 7-day supply of non-perishable food available. Medications will be locked and secured in cabinet in the hallway.

Smoke detectors and carbon monoxide detectors observed to be operational during today's inspection. Fire extinguisher present and current.

Outside toured. No hazards observed. All fire exits open clear of any obstructions.

No deficiencies cited during today's inspection.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/29/2023
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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