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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209297
Report Date: 02/22/2024
Date Signed: 02/22/2024 12:42:05 PM

Document Has Been Signed on 02/22/2024 12:42 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 ASSISTED LIVING/ WESTCHESTER GARDENSFACILITY NUMBER:
157209297
ADMINISTRATOR:MOREHEAD, NICOLEFACILITY TYPE:
740
ADDRESS:2228 TRUXTUN AVETELEPHONE:
(661) 324-3091
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY: 36CENSUS: 33DATE:
02/22/2024
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Administrator, Nicole MoreheadTIME COMPLETED:
12:50 PM
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On 02/22/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conducted a health and safety check. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Nicole Morehead.

LPA conducted a tour of the facility. All passage ways were clear from obstructions. LPA observed an adequate food supply. Residents observed to be watching TV and socializing.

LPA obtained a copy of the residents roster and 602s for all residents in care. LPA is requesting the following documents be submitted to the Fresno CCL office by 02/23/2024: Hospice records, and documentation for ALW residents.

No deficiencies issued.

Exit interview conducted. A copy of this report was discussed and provided Administrator, Nicole Morehead, whose signature on this form confirms receipt of this document.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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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