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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206807
Report Date: 08/14/2024
Date Signed: 08/14/2024 10:58:09 AM


Document Has Been Signed on 08/14/2024 10:58 AM - 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:CARING HEART - PAULFACILITY NUMBER:
107206807
ADMINISTRATOR:MARK TOWNSENDFACILITY TYPE:
740
ADDRESS:8383 E. PAUL AVENUETELEPHONE:
(559) 324-8724
CITY:CLOVISSTATE: CAZIP CODE:
93619
CAPACITY:6CENSUS: 3DATE:
08/14/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Kalani Sylva, staffTIME COMPLETED:
10:14 AM
NARRATIVE
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On 08/14/2024, (LPA) V Gorban visited the facility stated above to commence case management to notification Licensing office received from Fresno Fire department on 08/13/2024.

The Notice of Violation for the address stated above was sent on 7/22/2024 and the property was re-inspected on 08/06/2024 and was found to not in compliance. The property is deemed a fire hazard and is in violation of Fresno County Ordinance.

During this visit LPA toured the facility inside and out, observed the property perimeters provided by staff and interviewed staff and Administrator. During this visit LPA collected records of the facility landscape on the south side of the facility and recorded fire hazard.

Deficiency observed and cited on attached LIC809-D

Exit interview conducted, report signed and copy of this report with appeal rights provide to Administrator for facility records.

SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8889
LICENSING EVALUATOR NAME: Vadim GorbanTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 08/14/2024 10:58 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710


FACILITY NAME: CARING HEART - PAUL
FACILITY NUMBER: 107206807

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/15/2024
Section Cited
CCR
87203

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87203 Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This was not observed as evidenced by:
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The Administrator will remove debris and old and dry grass of the facility property and provide proof of correction to LPA by email by POC due date.
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The Administrator failed to maintain fire safety ordinance of the property which poses immediate health and safety risk of persons 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.
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8889
LICENSING EVALUATOR NAME: Vadim GorbanTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2024
LIC809 (FAS) - (06/04)
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