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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209464
Report Date: 11/14/2024
Date Signed: 11/14/2024 12:15:58 PM

Document Has Been Signed on 11/14/2024 12:15 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:HUNTINGTON HOUSEFACILITY NUMBER:
107209464
ADMINISTRATOR/
DIRECTOR:		SMITH, WILLIAM SFACILITY TYPE:
740
ADDRESS:3655 E HUNTINGTON BOULEVARDTELEPHONE:
(559) 486-6131
CITY:FRESNOSTATE: CAZIP CODE:
93702
CAPACITY: 4CENSUS: 4DATE:
11/14/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Administrator, William SmithTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) K.Kaur conducted Pre-licensing follow up Inspection on this date. LPA met with met with Administrator, William Smith. A tour of the facility was conducted together. The facility was observed to be at a comfortable temperature, and in good repair. No passageway obstructions or fire hazards were observed inside or outside. Common areas were properly furnished and well-lit throughout.

Licensee has made all corrections.

Component III was conducted during today's pre-licensing visit. Applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued. An exit interview was conducted with Administrator. Report signed on-site; a copy of this report will be provided via email.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Kamaldeep Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2024
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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