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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 207209142
Report Date: 08/30/2021
Date Signed: 08/30/2021 04:46:50 PM

Document Has Been Signed on 08/30/2021 04:46 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:OAKHURST BOARD AND CAREFACILITY NUMBER:
207209142
ADMINISTRATOR:SAECHAO, MAUNG LIAMFACILITY TYPE:
740
ADDRESS:41456 PAMELA PLACETELEPHONE:
(559) 293-3174
CITY:OAKHURSTSTATE: CAZIP CODE:
93644
CAPACITY: 11CENSUS: 7DATE:
08/30/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Josh McWealth - LicenseeTIME COMPLETED:
12:30 PM
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On this date, Licensing Program Analyst(LPA) D. Ayers arrived at the facility for an announced Pre-licensing Inspection. LPA met with Licensee Josh McWealth and Administrator Saechao Maung Liam.

LPA toured the facility inside and outside. All passageways and exits were clear and free from obstruction. The facility had a hard-wired sprinkler system installed. The facility was adequately furnished, well-lit, and at a comfortable temperature. Common areas were clean and odor-free. LPA toured resident bedrooms and bathrooms and observed bedrooms to have required minimum furnishings. Bathrooms have secure grab bars and non-skid mats. Outdoor area was free from hazards and had enough seating for all residents.

Licensee and Administrator completed Component III Orientation. Pre-Licensing is complete and this facility has no deficiencies. A copy of this report was provided to the licensee via email.
SUPERVISORS NAME: Andy Xiong
LICENSING EVALUATOR NAME: David Ayers
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2021
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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