<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206912
Report Date: 02/27/2023
Date Signed: 02/28/2023 08:41:27 AM

Document Has Been Signed on 02/28/2023 08:41 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 GARDENS RESIDENTIAL CARE IIIFACILITY NUMBER:
157206912
ADMINISTRATOR:ROURA, RODELIO L.FACILITY TYPE:
740
ADDRESS:10719 BEAVER CREEK DRIVETELEPHONE:
(661) 699-3786
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 6CENSUS: 5DATE:
02/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Rodelio Roura
Olivia Roura		TIME COMPLETED:
02:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 2/27/2023, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Annual Required Inspection. LPA introduced self, stated purpose of visit and allowed entrance by Direct Care Staff. Licensee, Olivia Roura contacted by telephone and arrived a short time later. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry.

Facility appeared clean with no obstruction or fire clearance issues. Hand sanitizer was readily available to resident and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have trash cans with lid. Resident bedrooms toured, all bedrooms are private.

Fire extinguisher present and has a service date of 04/19/2022. Carbon monoxide detector present and observed to be operational during today's inspection.

LPA observed residents’ medications to be locked and secured in hallway cabinet. Food supply observed to be adequate for residents. Facility staff was observed with mask on. Rodelio Roura serves as facility Administrator certification #6027980740, expires 9/04/23.

Administrator to submit copies of updated LIC 500, LIC 610, LIC 9020 to Fresno CCL office no later than 3/10/23.

No deficiencies were observed. Exit interview was conducted. A copy of this report was provided for facility records.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1