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HomeMy WebLinkAboutBUSINESS PLAN ~yLEANO'S RESIDENTIAL CARE HOM~EI ~ ~ (2804 TAR SPRING ~~ ------ - - .-~-.-...-~ u~\" Lk.•i4" ~,,t ~..F .:.' ,1- ~3 ~.c.r..:- ..~._ ~ -_ -, ... _ .... - _ ;a r Y , .-.-'•.i"`lS :.a.rr .. ~~t~-- '/'. ". .Y v. _ .. .1;., .. . ,. `fl.a 1 ~ i BAKERSFIELD FIRE DEBT. Prevention Services ~F""~~ ~~uf ~ ." FIRE PREVENTION INSPECTION a EF11BE t ~ 90o Truxtun Ave., Ste. 210 ~ ~~ ~ r~nn. AR111I T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE -~ y- EE -"" ~/. _ FACILI Jib '~µ ( ft t I CITY, STATE, ZIP ~ FACILIT NAME ~ ~ r n ~ MA AGER'S NAME ~ ,1 ~ FACILIT.>P ONE Ny -~ ( ( ~ t f~ ~ V ~ ~ J BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, IP PHONE N~O. r OW~R'S BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BIL4ING PH NE NO. ~ ~ ~ , ~ ~. OGC ~E OCC •9AD NO. OF FLOORS HIGH RISE BL G R D TE RI E (/ "Q)~ ^ YES NO / / CORRECT ALL VIOLATIONS vio~~rioN REQUIREMENTS /' CHECKED BELOW No. COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above pr s VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type 8 size) __________________ portable fire extinguisher to be immediately accessible for use in (area) ____________________________ (U.F.C.) g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrastin k o d i f street to indicate the correct address of the building. (B.M.C.) (U. F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) 10 Remove/repair (item & location) _________________________________________________________. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 1g A } ` ~'_ t ~ ~ r v ~ a .~: ~ /Ll~~ ~ ~/ f ~t.7`r ~~~ ~C_t~ CUSTOMER: LEGEND: C.F.C. CALIFORNIA FIRE CODE (S~ tUre) (Please Print Name Legibly tle) U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: / AP NO.: _ N.F.P.A. NATIONAL FIRE PROTECTION _ (Signature ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) ~i STATE OF CALIFORNIA FIRE SAFETY INSPECTION REQUEST See lnstructlons on reverse. sTV. esa IREV. ~as4) AGENCY CONTACTS NAME TELEPHONE NUMBER REpUEST DATE PROGRAM COMMUNITY CARE LICENSING 559 243-8080 11/08/06 109 EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE #200 DIANA CHAPMAN #155801090 7A RESPONSE REQUIRED cones 1. ORIGINAL A. FIRE CLEARANCE l1CENSING ~ TATE DEPT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY NAI~AEAND Community Care Licensing Branch 3. CAPACITY CHANGE ADDRESS 770 E. Shaw Avenue, Suite 330 4. OWNERSHIP CHANGE Fresno, CA 93710 5. ADDRESS CHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONS.9~BULATORY BEDRIDDEN TOTAL CAPACITY CAPAgTY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY -0- -0- -6- -6- - - 6 FAGUTY NAME LICENSE CATEGORY LEANO'S RESIDENTIAL CARE HOME 740 RCFE STREET ADDRESS (Actwl Loceflon) NUMBER OF BUILDINGS 2804 TAR SPRING AVENUE 1 CITY RESTAAIN7 BAKERSFIELD CA. 93313 ~ NONE FAgUTY CONTACT PERSON'S NAME HOURS LUCY LEANO LICENSEE 24 HOURS sPEgAL coNDmoNs TELEPHONE:: 1-661-831-3430 REQUESTING USE OF MASTER BEDROOM FOR RESIDENTS CITY OF BAKERSFIELD ARE 900 TRUXTON AVE STE #210 AUTHORITY , NA~IEAND BAKERSFIELD, CA. 93301 ADDRESS . L NrSPECTOR'S NAME (Tjyod a PrhbdJ ~ TELEPHONE NUMBER CFlRS NUMBER I OCCUPANCY CLASS 1. FIRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS E. HOUSEKEEPING F. 6PECULHAZARD G. OTHER EXPlA1N DENIAL OR LIST SPEGI ****** HP MFP Digital Sending: Delivery Confirmation ****** The following job has been successfully delivered to the i specified recipient(s) and/or intermediate server. ---------------- Original message header ------------------ From: BFD HazMat 900 Truxtun - 10.1.17.55 Date: Wednesday, November 15, 2006 7:42:57 AM Subject: --------------------- Recipient List ---------------------- 15592438088 [successful transmission] G l 11/08/2006 16:08 15592438088 CCLD FRESNO OFFICE J 5~ t'~--I; ~ ~ CALIFORNIA DE~'A.RTMENT OF SOCIAL SERVICES CO MMU.NI'I'k cARE LICENSING CF,I~TTRAI:. CAL.T.FORNIA CHILDREN'S RESIDIr.NTIhL PRF5N0 LOCAL UNIT PAGE 01/02 FACSIMILE TRA,N5MI'TT.AL 5I-I$FT GoMrANY; ~ ,r`Y vnTF: ~ ~~~~~ J I:A]iNUbIR !•f -' 'j'QTALNU.OFPAC:LSINCLIIT7II3f(C`f;`,COVPR: ~~6~ ~5~ ~1~~ ~ PI•IONE NIJT.tNls7t: SrND>ssli'S PNONTi NliMB$R: (559) 243-80.'3D R E: Sr-.IVnr.,R'S FAX NUMbtsli: (559) 243-888 CI URC:I•.rti'C Cl fiC)R R;;;\~1GW ^ YLCA.SF•. CUMMI;hIT ~ PLCA$F. REPLY D YLI:A$F. RL+'CYC.LR 77(1 >;. Slrnvn Av>?. suJ-rr•. 3~n rrst;sNO, cn 9~7~n PFiOAiPs: (559) 445-5G47 FAX: (354} d+FS-St197 ( -~ ~c~2~" `s2o-cz~W +~~E~~.~~ ~ W~j :..::n n E FIRE PREVENTION INSPECTION ,'4 t r~C`~ BAKERSFIELD FIRE DEPT. B E R S P I D Prevention Services FIRE 900 Truxtun Ave., Ste. 210 wwrir r Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 85c12~-2~711c DISTRICT BLOCK NO. DATE ~ EE ® ~ FACILITY ADDRESS CITY, STATE, 2 ~ /~ FACILITY NAME O t ~`~ , ~ -~'(/`~._ MANA R'S NAME FA ILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZI OWNER S PHONE N BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. O PE OCC OAD NO. OF FLOORS HIGH RISE BLDG RIS T ^ YES NO CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. LE WASTE /DRY OMBUS ~ Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) C TIB VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its safe disposal. (U.F.C.) COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.) 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _ (U.F.C.) ---------------------------- 6 Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, by a person having a valid license or certificate. (U.F.C.) ~ Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (doorlwindow) to SIGNS fire escape. (U.F.C.) g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F.C.) g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) 10 RemoveJrepair (item & location) _________________________________________________________. Self-closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the closing device. (U.F.C.) EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) 12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) ______________________________ to clearly indicate it as an exit. (U.F.C.) STORAGE 13 Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.) 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES where needed. (N. E.C.) (U.F.C.) 15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.) OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 16 CUSTOMER: LEGEND: C.F.C. CALIFORNIA FIRE CODE S' re (Please Print Name Legibl ,Title) U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION nature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE Knr-i~~u White -Customer/Original Yellow -Station Copy Pink -Prevention Services FO 2022 (Rev. 09/05) 11/0812006 16:08 15592438088 ~~ m,~teaFCNt Fif1E $r14FETY INSPECTIL7N REQUEST AGB~IL7 CpMY1C19 M~fAE COMMUNITY CARE LIGENSING EV/YJIA70p'9 MnME CCLD FRE5N0 OFFICE ~EPNONE NuM6E~+ (559 243-E3(380 REauE871NO AO~NG"f FiIC~TY ~ #155801094 RESPONSE REQUIRED STATE DEPT OF SOCIAL SERVICES w~iMEiu+a Gammunity Care Licensing Branch ,~noeESS 770 E. Shaw Avenue, Suite 33C) Fresno, CA 937'Ip L_ --, -Q^ I -Q- ~ -fY- I '17- RAC~I1YtMrE LEAN4'S RESIDENTIAL CARE HOME BtAF~T Aooa~e (Ashur iao~BOn) 2804 TAR SPRING AVENUE Bee /nstruCNolw C~ft ro+~nos. pepuearoarE r~oopu~ ~ ~ rogtas 1 os PAGE 02102 ,. vaonau ~ Fl~ a~NCE ~ ~aew~ e. t~s~rv a ct~~rt,ratRNa~ 4, QIWNEq$NIPCH)SNCiE 6. ADt~iE$SLI' dAl10E 6. NAAECMANQ,E 7. Ol'HFJi NuN~ o~ ew~aNOe 1 BAK RSFlELQ CA. X3313 NONE ~~ausv ooMr~cr reisoees wave «r~ LUCY EANO LI ENSEE 24 HOURS ereC~~caxomorl9 TELEPHONE:: 1-661-837-3434 CITY OF BAKERSFIELD ~ 80fl TRUXTON AVE, STE #2'10 ~~ BAKERSI"IELQ, CA. 933x1 ie.9++ohfi IAIMBIER aaArur~moau~oo~ ~ cows -- ,. ~aa~rrrso a ~c~.EAp,•,NC~neH~Ea ~~ a o0N81ALICTION C. FlNG Aa,AFM~I CFiHB NIM~A9faR OOQrP1~l~IGY ClA9R D. SPRIIrIQ.~ E HQU6®~~PINN F. BF~BCULNALIND Et ~l~k