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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206816
Report Date: 11/26/2024
Date Signed: 11/26/2024 10:25:00 AM

Document Has Been Signed on 11/26/2024 10:25 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:CLEAR VIEW RETIREMENT GROUPFACILITY NUMBER:
107206816
ADMINISTRATOR/
DIRECTOR:
LASHAY C DUSTINFACILITY TYPE:
740
ADDRESS:2380 E. EL PASOTELEPHONE:
(559) 298-2877
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 3DATE:
11/26/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Administrator - Shay AyersTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 11/26/2024, Licensing Program Analyst (LPA) M Vega arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by Staff 1 (S1). Administrator (AD) was contacted by S1 via phone, Administrator arrived a short moment later. LPA toured facility with AD Shay Dustin, certification number 6033549740.

The facility was observed to be at a comfortable temperature, of 70 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed residents after breakfast in their rooms resting. Department phone number and infection prevention information signs were posted in the facility.

Inspecting kitchen LPA observed the required 7 day supply of non-perishable food and 2 day supply of fresh perishables to be properly stored. An emergency disaster supply was observed.

Fire extinguisher was observed with a service date of 07/22/2024. All 6 residents’ bedrooms were observed to be with comfortable temperature. Kitchen sink water temperature was tested and recorded reading of 107 degrees F.

Medications observed to be locked in a cabinet in facility hallway near resident rooms. LPA reviewed medication records to be accurate at the time of inspection. Cleaning supplies were observed to be locked and secured, inaccessible to residents.
An outdoor seating area was observed for residents in care, seating area in good repair.

LPA reviewed Staff and Resident files. Resident files observed to have updated information.

No deficiencies were observed and cited. Exit interview conducted.
Report was signed and copy of this report was provided for facility records.
Brenda ChanTELEPHONE: (650) 272-4781
Martin VegaTELEPHONE: 559-243-8080
DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/26/2024
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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