107201156-6-1-2023-24-AS-BCHN-CVLUPN-20230912154548

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107201156
Report Date: 05/18/2023
Date Signed: 06/01/2023 08:26:05 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/18/2023 and conducted by Evaluator Brianna Miranda

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230518094106

FACILITY NAME:	FAIRWINDS - WOODWARD PARK		FACILITY NUMBER:	107201156
ADMINISTRATOR:	VALERO, DESIREE		FACILITY TYPE:	740
ADDRESS:	9525 N FT WASHINGTON RD		TELEPHONE:	(559) 434-6444
CITY:	FRESNO	STATE: CA	ZIP CODE:	93730
CAPACITY:	270	CENSUS: 225	DATE:	05/18/2023
		UNANNOUNCED	TIME BEGAN:	05:15 PM
MET WITH:	Administrator Desiree Valero		TIME COMPLETED:	08:30 PM

ALLEGATION(S):

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Staff did not ensure HVAC was working properly

INVESTIGATION FINDINGS:

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On 5/18/23 at 5:15 p.m. Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct an investigation for the allegation listed above. LPA introduced herself and met with Administrator (AD) Desiree Valero, LPA explained the reason for the visit.

AD stated each apartment has its own individual AC unit. While talking with AD it was discovered there were 4 A/C units needing repair within the past week.
AD stated three of the four units needing to be repaired were repaired from an outside company. One AC unit was repaired by facility. Invoices for A/C units needing repairs was collected from the facility.

See LIC9099C for continued report.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna Miranda	TELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 24-AS-20230518094106

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: FAIRWINDS - WOODWARD PARK	FACILITY NUMBER: 107201156
	VISIT DATE: 05/18/2023

NARRATIVE

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LPA interviewed various residents through out the facility. It was stated to LPA facility took from 7 days to 3 weeks to fix AC units. As LPA toured the facility and went to all three floors, LPA observed thermostats to not be in working order. Example one thermostat in the hallway of the third floor East Wing was set to 80 degrees F and the temperature read 86 degrees F. In another hallway first floor East Wing was set to 74 degrees F and read 81 degrees F. LPA observed the stairwell door from the third floor open with the window open. Current outside temperature is showing at 91 degrees F

1. The Department investigated the allegation: Staff did not ensure HVAC was working properly. LPA toured the facility and observed facility to not be at a comfortable temperature. LPA observed thermostats at the facility to read at 79 degrees or above when thermostats were set to a lower temperature.

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter number 8), are being cited on the attached LIC 9099D.

Exit interviewed conducted with AD, copies of LIC9099, LIC9099C, and LIC9099D were provided.

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna Miranda	TELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

LIC9099 (FAS) - (06/04)

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Control Number 24-AS-20230518094106

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: FAIRWINDS - WOODWARD PARK	FACILITY NUMBER: 107201156
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/18/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/19/2023 Section Cited CCR 87303(b)(2)	1 2 3 4 5 6 7	87303(b)(2) Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. (2) The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Administrator sent an email to have work order created tomorrow. Administrator stated will get AC units & fans throughout hallways. Administrator will send pictures of AC units and fans throughout the hallways of the facility.
	8 9 10 11 12 13 14	Based on LPAs observations, interview, and record reviews, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA observed various thermostats which did not show AC to be working properly. LPA conducted various interviews which stated facility took 7 days or longer to repair AC units in apartments.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna Miranda	TELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

LIC9099 (FAS) - (06/04)

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