Facility Evaluation Report

Stephen House, Clovis08/19/2022Licence 107206803

Capacity6
Census5
Date signed08/19/2022 02:03:19 PM
The inspector’s account

On 8/19/22, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct a Case Management inspection. LPA introduced self, stated the purpose of the visit and met with Administrator Sundari Susan Kendakur and Shannon Steele Care Coordinator (CC).

The purpose of today's inspection is to address the facility's failure to submit Incident Report to the Fresno Community Care Licensing (CCL) office on incident that occurred on 07/15/22. Administrator and CC stated incident report was faxed on 07/15/22 but no confirmation was provided on facility report. Facility office staff dropped off incident report after no confirmation received on 07/28/22.

An exit interview was conducted. LPA discussed with Administrator plan to ensure incident report are confirmed received by CCL. A copy of this report will be provided via email to Administrator and an electronic read receipt confirms receiving these documents. Signed report on file.

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