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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157200752
Report Date: 10/23/2024
Date Signed: 10/23/2024 11:41:45 AM

Document Has Been Signed on 10/23/2024 11:41 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:RIVERSIDE RANCH, ADULT OUTPATIENT SERVICESFACILITY NUMBER:
157200752
ADMINISTRATOR/
DIRECTOR:
MORENO, ELANAFACILITY TYPE:
775
ADDRESS:18200 HIGHWAY 178TELEPHONE:
(661) 871-9697
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY: 15CENSUS: 11DATE:
10/23/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Administrator Laura Vargas and Administrator Assistant Brian Nelson TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 10/23/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA met with Administrator Assistant Micaela Venegas. Administrator Laura Vargas and Assistant Administrator Brian Nelson was called and arrived shortly. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Administrator. No clients was present during inspection.

A sample of the resident’s and staff files were reviewed to have the required documents. A tour of the facility was conducted with the Administrator. The facility was free of passageway obstructions inside and outside.

Fire drill was last completed on 09/26/24. Fire extinguishers were charged and had service dates of 8/23/23. Hot water temperature was measured at 107.2 degrees F. Kitchen was toured. Knives were locked in a kitchen drawer. Cleaning supplies were in a locked under the kitchen sink. Lunches is prepared and provided to clients at another facility. Snacks observed stored in refrigerator and kitchen cabinet. Refrigerator temperature maintained at 24 degrees F and freezer maintained at -7 degrees F. Medications are not administered at day program. First Aid Kit contained the required supplies. Outdoor seatings observed available for clients. Smoke detectors and carbon monoxide detectors observed operational during inspection.

No deficiency observed.

An exit interview was conducted with the Administrator. A copy of this report was provided to Administrator, whose signature on this form confirm receipt of these documents.

SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2024
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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