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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208962
Report Date: 07/08/2021
Date Signed: 07/15/2021 10:31:38 AM

Document Has Been Signed on 07/15/2021 10:31 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 IVFACILITY NUMBER:
157208962
ADMINISTRATOR:ROURA, OLIVIAFACILITY TYPE:
740
ADDRESS:12301 RIVERFRONT PARK DRIVETELEPHONE:
(661) 699-3786
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 6CENSUS: 6DATE:
07/08/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:28 AM
MET WITH:Olivia Roura, AdministratorTIME COMPLETED:
12:00 PM
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On 07/08/2021, Licensing Program Analyst (LPA) L. Salazar and Program Clinical Consult (PCC) , Lori Kopplinger, arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit and was granted entry to the facility. LPA met with Administrator, Olivia Oblea. Facility has one entry/exit point. Visitor log-in/temperature check observed at the entrance of the facility. Staff was observed wearing masks.

Facility appeared cleaned with no obstruction or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathroom did not have a trash cans with lid. Signs promoting social distancing, cough/sneeze etiquette, and hand-washing were not observed. 4 out of 5 Bedrooms were single occupant during this inspection.

LPA checked residents’ locked medications. Food supply was checked and there appeared to be an adequate supply. Cleaning and PPE supplies were checked. Facility has a 30 day supply of required PPE. Staff records were reviewed for good health and infection control training. Residents wear masks when away from the facility. Resident’s files have updated emergency contact information.



No deficiencies were observed. Exit interview was conducted. Administrator was informed that as a COVID-19 precautionary measure, this report will be emailed and an electronic signature confirms receiving this document. Facility Representative signature on file.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE: DATE: 07/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/08/2021
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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