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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203406
Report Date: 03/15/2023
Date Signed: 03/15/2023 12:12:18 PM

Document Has Been Signed on 03/15/2023 12:12 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:SAILS CHANDLERFACILITY NUMBER:
157203406
ADMINISTRATOR:MARQUEZ, JOSEFACILITY TYPE:
735
ADDRESS:6005 CHANDLER WAYTELEPHONE:
(661) 473-2335
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY: 4CENSUS: 2DATE:
03/15/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Administrator Jose MarquezTIME COMPLETED:
12:15 PM
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On 3/15/2022, Licensing Program Analyst (LPA) K.Kaur conducted an unannounced Case Management visit.
LPA introduced self and was allowed entrance by staff. LPA Kaur met with Administrator Jose Marquez.

LPA arrived at the facility to conduct case management visit for incident report CCLD received on 2/22/2023 in regard to R1 AWOL. R1 left the facility on 2/16/23 and was gone until 2/22/23. On 2/16/23 when R1 was trying to leave facility; staff did try to redirect resident however Per R1’s LIC 602 (Physician’s report) R1 is able to leave the facility unassisted.

No deficiencies sited during this Case Management visit. An exit interview was conducted with Administrator. Report signed on-site and a copy of report was provided.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Kamaldeep Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2023
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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