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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107204214
Report Date: 01/30/2024
Date Signed: 02/09/2024 03:54:11 PM

Document Has Been Signed on 02/09/2024 03:54 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:UCP OF CENTRAL CALIFORNIA-CHEERSFACILITY NUMBER:
107204214
ADMINISTRATOR:CUNNINGHAM, KELLYFACILITY TYPE:
775
ADDRESS:157 E. GLENN AVE.TELEPHONE:
(559) 934-1126
CITY:COALINGASTATE: CAZIP CODE:
93210
CAPACITY: 45CENSUS: 30DATE:
01/30/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Administrator Lisa NodalTIME COMPLETED:
12:15 PM
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On 1/30/24, Licensing Program Analyst (LPA) B. Miranda conducted an unannounced Annual Required visit. LPA introduced self, stated purpose of visit, and allowed entrance by Administrator Lisa Nodal.

LPA toured the facility inside and exit ways. LPA observed the facility to be clean, free from clutter, and odor free. All fire exit routes were free and clear of obstructions. Facility does not dispense medication. Toxins, cleaning supplies, knives and sharp objects are secured and inaccessible to clients.

Facility has various classroom areas for the clients. Adequate seating and lighting observed in all common areas.
Fire extinguishers were last serviced 11/13/23 and are in good standing. Smoke alarms are remotely operated and administrator provided verification they are in working condition. Water temperature was checked in one of the client's bathrooms and read at 107.2 degree Fahrenheit.

LPA reviewed a sample of staff files which are current and up to date on training. LPA reviewed a sample of client files. Some of the client files need admission agreements and current IPPs. Administrator will provide LPA with a procedure of when the file reviews will be completed due by 2/9/24.

No citations issued per the California Code of Regulations Tittle 22.

Exit interview was conducted and a copy of this report LIC809 was provided to Administrator Lisa Nodal.



SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2024
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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