<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203989
Report Date: 04/10/2024
Date Signed: 04/10/2024 10:20:58 AM

Document Has Been Signed on 04/10/2024 10:20 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:PHASE TWO SERVICES CORP.FACILITY NUMBER:
157203989
ADMINISTRATOR/
DIRECTOR:
GONZALEZ, JESUSFACILITY TYPE:
735
ADDRESS:9500 THOREAU AVENUETELEPHONE:
(661) 282-3183
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 4CENSUS: 3DATE:
04/10/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Administrator Jesus GonzalezTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 04/10/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual
Inspection. LPA introduced self, stated the purpose of the visit, and met with Administrator Jesus Gonzalez. No client was present during inspection.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Fire extinguisher was observed with a service date of: 009/21/23. Fire drill last completed on 02/19/24. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -6 degrees F and refrigerator temperature was maintained at 39 degrees F. All clients' bedrooms and vacant bedroom were toured. Bedroom were observed to be adequately furnished with bed, dresser, and adequate lighting. Bathroom was toured and hot water temperature was tested 110.2 degrees F. Medications were checked and observed kept locked in hall closet. Clients’ MARS was reviewed. Outside of facility toured. Side gate was self-closing with free of debris. Outside was observed with adequate outdoor seatings available for clients. Swimming pool was observed fenced and locked. All clients’ and sample of staff files were reviewed to have all the required documents. Carbon monoxide and smoke detectors were tested and observed to be operational.



No deficiency was cited during inspection.

Exit Interview conducted. The requested documents are to be submitted to the department by 04/16/24: control of property, Lic 308, Lic 500, Lic 610D, Lic 9282, and Lic 9020. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE: DATE: 04/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/10/2024
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 1