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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206818
Report Date: 09/26/2024
Date Signed: 09/26/2024 05:26:16 PM

Document Has Been Signed on 09/26/2024 05:26 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:SOCIAL VOCATIONAL SVCS, INC - REEDLEYFACILITY NUMBER:
107206818
ADMINISTRATOR/
DIRECTOR:		GONZALEZ, CLUADIAFACILITY TYPE:
775
ADDRESS:1369 E. MANNINGTELEPHONE:
(559) 638-1040
CITY:REEDLEYSTATE: CAZIP CODE:
93654
CAPACITY: 75CENSUS: 38DATE:
09/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:43 PM
MET WITH:Program Director, Claudia GonzalezTIME VISIT/
INSPECTION COMPLETED:
05:29 PM
NARRATIVE
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On 9/26/24 Licensing Program Analyst (LPA) M. Garza arrived to complete an unannounced case management visit. LPA met with Program Director, Claudia Gonzalez, explained reason for visit and was permitted entry into the facility. Clients not at program during time of visit.

This case management visit is being conducted for Special Incident Reports that were received by Community Care Licensing from the facility.

Incident #1: C1 was hitting staff on multiple occasions and wandered outside.
Documentation was reviewed and interviews were completed. IPP states that C1 has behaviors when upset or having certain feelings. Behavior plan in place for the facility. Interviews conducted show that the behavior plan is being followed by staff when dealing with C1.

Incident #2: C2 fell during an outing resulting in an injury reported the following day by family. Documentation reviewed and interviews completed. Facility did not obtain medical attention for C2 after fall occurred. Deficiency cited.

Incident #3: C3 was eating breakfast when they began choking. Staff had to preform the Heimlich in order to dislodge food. Documentation and interviews completed. IPP reviewed specified C3 to eat soft foods cut into small pieces and was a choking hazard. Interviews completed show that staff followed directions per IPP.

Deficiency for C2 provided on attached 809D per Title 22. Exit interview completed with Program Director, Claudia. This report, deficiency and appeal rights provided.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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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Document Has Been Signed on 09/26/2024 05:26 PM - It Cannot Be Edited


Created By: Mary Garza On 09/26/2024 at 05:03 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: SOCIAL VOCATIONAL SVCS, INC - REEDLEY
FACILITY NUMBER: 107206818

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/27/2024
Section Cited
CCR
82075(a)

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82075 Health-Related Services
(a) The licensee shall ensure that each client receives necessary first aid and other needed medical or dental services, including arrangement for and/or provision of transportation to the nearest available services.
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Program DIrector to provide POC in writting to CCL by POC date. All staff to be trained on regulations, follow up with clients, incident report training, POC in the form of training material and in-service sign in sheet to be provided to CCL as proof of correction.
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This requirement was not met as evidence by: Documentaiton and interviews conducted show that C2 had a fall during an outing resulting in an injury to the eye. Facility did not provide medical attention after the fall.
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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:See Moua
LICENSING EVALUATOR NAME:Mary Garza
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2024


LIC809 (FAS) - (06/04)
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