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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107207171
Report Date: 08/22/2023
Date Signed: 10/12/2023 11:35:06 AM

Document Has Been Signed on 10/12/2023 11:35 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:ARC FRESNO/MADERA COUNTIES, REEDLEY TRAINING CTRFACILITY NUMBER:
107207171
ADMINISTRATOR:RAMIREZ, LORIFACILITY TYPE:
775
ADDRESS:1613 12TH STREETTELEPHONE:
(559) 638-5959
CITY:REEDLEYSTATE: CAZIP CODE:
93654
CAPACITY: 45CENSUS: DATE:
08/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:51 PM
MET WITH:Program Manager, Kelly WheelerTIME COMPLETED:
03:17 PM
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On 8//22/23 Licensing Program Analyst (LPA) M. Garza arrived for an unannounced annual inspection visit. LPA was met by Program Manager, Kelly Wheeler. LPA introduced self, explained reason for visit and was permitted entry into the facility.

LPA completed a health and safety check on clients in care. LPA toured the facility inside and out. Clients observed in activity rooms and in common areas. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors present and operational at time of visit. Fire extinguisher last serviced 1/17/23. Last fire drill on 07/31/23.

Facility does not handle medications/money for clients. LPA observed sufficient seating under covered patio area. Water temperature measured at 108 degrees F in kitchen.

The following issues observed during visit: Water temperature in restrooms is on a sensor and does not reach 105 degrees F. Chemicals observed inside an unlocked janitorial closet. Staff immediately closed and locked. Sharp observed in an unlocked kitchen cabinet. Staff immediately removed and placed into a locked cabinet near the restroom.

LPA requested the following documents to be submitted to CCL by 8/29/23: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file.

No deficiencies cited during inspection. TA provided for sharps, water temperature and chemicals. Due to time constraints, LPA will return at a later date for an annual continuation. Exit interview completed with Program Manager, Kelly Wheeler. A copy of this report was provided.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2023
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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