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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406684
Report Date: 03/06/2025
Date Signed: 03/06/2025 06:22:51 PM

Document Has Been Signed on 03/06/2025 06:22 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
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:SIERRA VIEW HOMES RESIDENTIAL CAREFACILITY NUMBER:
100406684
ADMINISTRATOR/
DIRECTOR:		PENNER, VIRGINIA B.FACILITY TYPE:
741
ADDRESS:1155 E. SPRINGFIELDTELEPHONE:
(559) 638-9226
CITY:REEDLEYSTATE: CAZIP CODE:
93654
CAPACITY: 78CENSUS: 41DATE:
03/06/2025
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
06:04 PM
MET WITH:Administrator, Jenny PennerTIME VISIT/
INSPECTION COMPLETED:
06:30 PM
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On 3/6/25 Licensing Program Analyst (LPA) M. Garza completed an unannounced case management visit. LPA met with Administrator, Jenny Penner, explained reason for visit and was permitted entry into the facility. A health and safety was completed on residents in care. Residents observed in common areas and in rooms.

This case management is being conducted as a follow up visit to a case management completed 2/27/25 for R1. This visit is for additional information on R1, documents was requested (physicians report, incident report, hospital discharge records, therapy notes, R1 care plan, medication list, face sheet for R1) and interviews were conducted (Administrator, S1 and S2) and follow up will be needed. At this time this case management needs further details.

No deficiencies cited during todays visit.

Exit interview completed with Administrator, Jenny Penner. A copy of this report provided.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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