Facility Evaluation Report

Sengsiri Home, Clovis09/24/2025Licence 107204055

Capacity6
Census5
Date signed09/24/2025 04:29:55 PM
Name of licensing program analystJacques Leffall
Name of licensing program managerSee Moua
The inspector’s account

On 9/24/25 Licensing Program Analysts (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced himself, stated the purpose of the visit, and was greeted by Brigida Sengsiri, Licensee (L1). LPA was granted entry. 5 clients were present upon arrival.

LPA toured facility with L1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. A sample of resident’s medications were checked and observed kept locked in medication cart in the office. Clients’ MARS was reviewed. Cleaning chemicals was observed stored and locked in facility office. Fire extinguisher was observed one in each building with a service date of: 11/8/24. Fire drill last completed on 8/9/25. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at a temperature of 113.1 to 114.6 degrees in 3 bathrooms.

Outside of facility toured. Outside observed free of debris. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Freezer temperature was maintained range at 0 degrees F and refrigerator temperature was maintained range at 35 degrees F. Carbon monoxide and smoke detector were tested and observed to be operational. All clients’ files reviewed to have all the required documents. Samples staff files were reviewed to have all required documents.

No deficiencies issued during this inspection.

Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 10/8/25: Lic 308, Lic 400, Lic 402, Lic 500, Lic 610D, and Lic 9020. A copy of this report was provided to Brigida Sengsiri L1, whose signature on this form confirms receipt of these report.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction