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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107208808
Report Date: 09/06/2024
Date Signed: 09/06/2024 11:08:50 AM

Document Has Been Signed on 09/06/2024 11:08 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:MRS SCOTT'S WHERE THE HEART IS HOMES-YOSEMITEFACILITY NUMBER:
107208808
ADMINISTRATOR/
DIRECTOR:		BRICE, NASTASSHAFACILITY TYPE:
740
ADDRESS:425 W KELLY AVENUETELEPHONE:
(559) 298-7975
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY: 6CENSUS: 5DATE:
09/06/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Nastassha Brice, Licensee/Administrator TIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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An Informal Office Meeting was conducted on this date. Present during the meeting were:
See Moua, Licensing Program Manager
Sergiy Pidgirny, Licensing Program Manager
Mai Yang, Licensing Program Analyst
Nastassha Brice, Licensee/Administrator

The following issues were discussed during the Informal as a result of deficiencies issued during the 8/19/24 Annual Visit:

-Dresser was used to block an exit door and side fence gate was padlock
-Latch locks on the front entry door and exit back door that residents and staff can not reach unless they use a chair
-Video cameras with audio on were installed in the resident’s rooms and common reasons
-Medications
-Personal and Staff files

In addition, the RO was notified that the Licensee no longer has a Lease Agreement and was served an Eviction Notice for failing to pay rent. The RO verified the home was placed on the market on Zillow effective 8/1/2024 for sale.Licensee/Administrator ‘s response to this information was –

The licensee had a 5 year, extension to 10 year lease that is active.

States that she is current with rent, disputes the August 2024 rent amount because repairs were made.

As of right now, there are no court documents for any eviction and she has reached out to the property owner. Facility is current on all bills.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2024
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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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: MRS SCOTT'S WHERE THE HEART IS HOMES-YOSEMITE
FACILITY NUMBER: 107208808
VISIT DATE: 09/06/2024
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Licensee will provided to the department with any updates regarding any eviction and will ensure the residents will be provided the appropriate 60 day notices.

The RO offered TSP services and will review for a Solvency Audit. Licensee states there is now a new Administrator.

Licensee/Administrator agrees to provide to the department by 09/13/24:
-Current rent, utility, and water bills for all three facilities licensed to BRICE GROUP INC, THE
-Information for new Administrator
-Medication Training records to include the training materials, dates and times of training, and signature of staff who attended.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2024
LIC809 (FAS) - (06/04)
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