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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107201156
Report Date: 05/22/2025
Date Signed: 05/22/2025 02:10:34 PM

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
05/21/2025 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20250521110936
FACILITY NAME:FAIRWINDS - WOODWARD PARKFACILITY NUMBER:
107201156
ADMINISTRATOR:VALERO, DESIREEFACILITY TYPE:
740
ADDRESS:9525 N FT WASHINGTON RDTELEPHONE:
(559) 434-6444
CITY:FRESNOSTATE: CAZIP CODE:
93730
CAPACITY:270CENSUS: DATE:
05/22/2025
UNANNOUNCEDTIME BEGAN:
10:38 AM
MET WITH:General Manager, Desiree ValeroTIME COMPLETED:
01:24 PM
ALLEGATION(S):
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Licensee is not ensuring that the facility has hot water.
INVESTIGATION FINDINGS:
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On 5/22/25 Licensing Program Analyst (LPA) M. Garza arrived to complete an unannounced complaint visit. LPA met with General Manager/Administrator, Desiree Valero, explained reason for visit and was permitted entry into the facility. LPA toured the facility and completed a health and safety check on residents in care. Residents observed in common areas, in rooms, dining area and outside.

During investigation LPA completed interviews, gathered and reviewed documentation (resident roster with room numbers, staff roster, staff schedule, maintence logs, tested water temperatures, maintence repair receipts, water logs for the last 2 months). Interviews conducted show the facility has been having issues with water temperatures for approximately 2 months. Repairs to a main pipe, recirculation pump and cartridges have been completed. The facility is still pending additional work to be completed. Water temperature tested in rooms (W132, W326, W328, W330) tested below the required 105 degrees F. The preponderance of evidence standard has been meet per Title 22. The allegation listed above is SUBSTANTIATED. Deficiencies cited on 9099D.

Exit interview completed with General Manager, Desiree. A copy of this report, deficiencies and appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 24-AS-20250521110936
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: 05/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/23/2025
Section Cited
CCR
87303(e)(2)
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87303 Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).
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General Manager will provide a written plan of correction to CCL by POC date. POC will include how corrections will be made and how residents will be accommodated in the mean time.
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This requirement was not met as evidcene by: LPA observation and interviews completed, the licensee did not comply with the section cited above in that water temperatrures tested in rooms (W132, W326, W328, W330) tested below the required 105 degrees F to 120 degrees F. This poses an immediate health, safety and or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2