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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209211
Report Date: 07/20/2022
Date Signed: 07/20/2022 01:00:05 PM

Document Has Been Signed on 07/20/2022 01:00 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:PATHWAY HOME CAREFACILITY NUMBER:
157209211
ADMINISTRATOR:JOHNSON, JONATHANFACILITY TYPE:
740
ADDRESS:410 LANSING DRIVETELEPHONE:
(661) 972-4646
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 6CENSUS: 0DATE:
07/20/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:03 PM
MET WITH:Jonathan Johnson, Licensee
Jason Johnson, Licensee		TIME COMPLETED:
01:15 PM
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On 7/20/22 at 12:03 PM, Licensing Program Analyst (LPA) Malia Thao arrived announced to conduct a follow-up prelicensing inspection. LPA met with Licensees (LIC) Jonathan Johnson and Jason Johnson.

LIC observed master bathroom with an accordion door installed, exterior fire exit gate observed with latch installed, and PUB 475 posted.


The following deficiencies need correction:
1. Hot water measured at 124.2 degrees F.
2. Exterior backyard fence not completely closed from adjoining building unit backyard space.

Licensee to contact LPA for follow-up inspection once deficiencies are corrected.


Exit interview conducted. A copy of this report was given to Jonathan Johnson, whose signature confirms receipt of this report.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2022
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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