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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209192
Report Date: 11/19/2024
Date Signed: 11/19/2024 01:25:42 PM

Document Has Been Signed on 11/19/2024 01:25 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:BRIGHTON MANORFACILITY NUMBER:
157209192
ADMINISTRATOR/
DIRECTOR:		KAUR, LAKHWINDERFACILITY TYPE:
740
ADDRESS:305 ALUM BAY COURTTELEPHONE:
(661) 589-1500
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY: 6CENSUS: 1DATE:
11/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:36 PM
MET WITH:Sundae HillTIME VISIT/
INSPECTION COMPLETED:
01:35 PM
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On 11/19/2024, Licensing Program Analysts (LPAs) M. Medina and A. Walton conducted an unannounced Case Management visit to conduct Health and Safety checks on residents in care. LPAs arrived, introduced self, stated purpose of visit, and allowed entrance to facility. Sundae Hill, notified and arrived a short time later to conduct visit with LPA.

LPAs arrived to follow up on information provided to Department. Facility observed to be clean, odor free, and a comfortable temperature. Facility observed to a have 2-day supply of perishable and 7-day supply of non-perishable food available. Resident 1 (R1) observed to be having lunch at time of arrival and visiting with family member. Medication and files reviewed.

LPAs will return at a later date to address any concerns observed during facility visit.


No deficiencies cited during this visit.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
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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