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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209347
Report Date: 05/31/2025
Date Signed: 05/31/2025 06:05:35 PM

Document Has Been Signed on 05/31/2025 06:05 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:COW HOUSEFACILITY NUMBER:
107209347
ADMINISTRATOR/
DIRECTOR:		HUTCHINSON, NEVIAFACILITY TYPE:
735
ADDRESS:2114 E FLORAL AVETELEPHONE:
(559) 834-2009
CITY:FRESNOSTATE: CAZIP CODE:
93725
CAPACITY: 4CENSUS: 2DATE:
05/31/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:CEO Donna Riedenauer; by telephone: Proposed Administrator (PA) Monica Leavitt TIME VISIT/
INSPECTION COMPLETED:
06:30 PM
NARRATIVE
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 An unannounced Annual visit was conducted on the date & times indicated above by Licensing Program Analyst (LPA) K. Mcclurg. LPA met with CEO Donna Riedenauer, greeted CEO, stated purpose of visit, & was allowed to proceed with visit. LPA spoke by telephone with Proposed Administrator (PA) Monica Leavitt (Admin Cert# 607631736 exp. 10/28/27. LPA introduced self, stated purpose of visit. During telephone call with PA, multiple subjects discussed in depth, clarifying a miscellaneous concerns &/or questions. PA contact information gathered & to resubmit required documentation to be assigned as facility Administrator of Record. Facility has in-ground swimming pool.

Physical plant tour began in kitchen. Kitchen appeared to be clean. Appliances appeared to be clean & at appropriate temperatures. 7 day non-perishable & 2 day perishable food on the premises. Some food packages observed to be open in freezer & in cupboard such as breakfast cereal. Food packages gone through by CEO at time of visit to ensure facility food packaging closed. Deficiency cleared at time of visit. Dining & living rooms sufficiently furnished with adequate lighting. Bedrooms sufficiently furnished with adequate lighting. Client bathroom fixtures operational. Hot water tested & measured at 122 degrees F. Hot water adjusted during this visit & re-measured at 117 degrees F. Deficiency cleared at time of visit. Fire extinguisher service date: 10/2/2024.

Outside area toured. Pool observed to be fenced at required height around total perimeter of pool & pool area. Pool appeared to be well maintained with no miscellaneous debris. Access gate to pool observed to be locked. Outside yard area with animal feed & facility repair items observed to be stored in an organized manner as to not present as a tripping or miscellaneous hazards. Animals appeared healthy, in good condition, & housed in humane conditions. Areas were tidy with no unpleasant odors. Area maintained & kept free of hazards such as wiring, nails, miscellaneous debris in such a way to not present as a hazard to clients.

Deficiencies Issued. Deficiencies Cleared at time of visit.
POC Letters provided @ time of visit.
Exit interview conducted with CEO. Report provided
NAME OF LICENSING PROGRAM MANAGER: See Moua
NAME OF LICENSING PROGRAM ANALYST: Kelly J. McClurg
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2025
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 4
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 05/31/2025 06:05 PM - It Cannot Be Edited


Created By: Kelly J. McClurg On 05/31/2025 at 05:33 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: COW HOUSE
FACILITY NUMBER: 107209347

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/31/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
80088(e)(1)
Fixtures, Furniture, Equipment, and Supplies
(e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water. (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Hot water measured at 122 degrees F.
POC Due Date: 05/31/2025
Plan of Correction
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Hot water adjusted at time of visit & measured at 117 degrees F.

DEFICIENCY CLEARED AT TIME OF VISIT
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
See Moua
NAME OF LICENSING PROGRAM MANAGER:
Kelly J. McClurg
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/31/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2025


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 05/31/2025 06:05 PM - It Cannot Be Edited


Created By: Kelly J. McClurg On 05/31/2025 at 05:33 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: COW HOUSE
FACILITY NUMBER: 107209347

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/31/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
80076(a)(18)
Food Service
(a) In facilities providing meals to clients, the following shall apply: (18) All food shall be protected against contamination. Contaminated food shall be discarded immediately.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Food in freezer & cupboard such as breakfast cereal observed to have open packages, not closed or sealed to protect nutrition value & against contamination.
POC Due Date: 05/31/2025
Plan of Correction
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Food packages pulled & closed during this visit.

DEFICIENCY CLEARED AT TIME OF VISIT.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
See Moua
NAME OF LICENSING PROGRAM MANAGER:
Kelly J. McClurg
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/31/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2025


LIC809 (FAS) - (06/04)
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