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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107208908
Report Date: 02/21/2024
Date Signed: 02/21/2024 03:53:30 PM


Document Has Been Signed on 02/21/2024 03:53 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:WESTMONT OF FRESNOFACILITY NUMBER:
107208908
ADMINISTRATOR:EDUARDO RANGELFACILITY TYPE:
740
ADDRESS:7442 & 7468 N MILLBROOK AVETELEPHONE:
(559) 446-1266
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY:155CENSUS: 87DATE:
02/21/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Executive Directior, Eddie RangelTIME COMPLETED:
03:00 PM
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On 02/21/2024, a scheduled informal meeting was conducted via teleconference. The purpose of the informal meeting was to discuss recently identified issues associated with the operation of the facility and to provide support on the subject matter. Informal meeting process was explained during this meeting.

Present at the informal meeting were:

Licensing Program Analyst, Vadim Gorban
Licensing Program Manager, Brenda Chan
Executive Director, Eduardo Rangel
Regional VP of Operations, Cassondra Bradford

This meeting was called to discuss the following issues or deficiencies:

Facility staffing
Care and Supervision
Medications
Reporting Requirements


Report continues on LIC809-C
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8889
LICENSING EVALUATOR NAME: Vadim GorbanTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2024
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


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: WESTMONT OF FRESNO
FACILITY NUMBER: 107208908
VISIT DATE: 02/21/2024
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Executive Director, Eddie Rangel agreed to do the following in order to bring the facility into compliance no later than 02/26/2024:

The licensee and Executive Director to develop a plan of action in writing describing how the facility shall ensure compliance with the facility staffing, care and supervision, medication, and reporting requirements.

Executive Director has been advised that failure to complete the above agreed action by the date will result in this Department taking following actions:

CCLD may increase monitoring to ensure the facility's adherence to this plan of compliance. CCLD may take administration action against the Licensee.

The Licensee was provided Technical Support Program and resources at www.cdss.ca.gov

Exit interview conducted and a copy of this report provided to the Executive Director, Eddie Rangel.

SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8889
LICENSING EVALUATOR NAME: Vadim GorbanTELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2