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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209191
Report Date: 11/19/2024
Date Signed: 11/19/2024 12:08:52 PM

Document Has Been Signed on 11/19/2024 12:08 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:WESTCHESTER HOME ON SPRUCE, THEFACILITY NUMBER:
157209191
ADMINISTRATOR/
DIRECTOR:		KAUR, LAKHWINDERFACILITY TYPE:
740
ADDRESS:2485 SPRUCE STREETTELEPHONE:
(661) 633-1225
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY: 6CENSUS: 5DATE:
11/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:17 AM
MET WITH:Administrator, Sundae HillTIME VISIT/
INSPECTION COMPLETED:
12:18 PM
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On 11/19/2024, Licensing Program Analysts (LPAs) Walton and Medina arrived unannounced to conduct a case management inspection. LPAs introduced themselves, stated the purpose of the visit and requested to meet with the Administrator. LPAs were granted entry to the facility by facility staff. Staff contacted Administrator, Sundae Hill, who arrived a short time later. LPAs met with Administrator.

The purpose of today's visit is to follow up on information submitted to the Fresno CCL office. LPAs conducted a health and safety check, reviewed facility records and interviewed staff and residents during today's inspection.

LPAs will return at a later date to address concerns observed during today's inspection.

No deficiencies issued during today's visit.

Exit interview conducted. A copy of this report was discussed and provided to Administrator, Sundae Hill, whose signature on this form confirms receipt of this document.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE: DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2024
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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