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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206660
Report Date: 03/14/2025
Date Signed: 03/14/2025 02:01:54 PM

Document Has Been Signed on 03/14/2025 02:01 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:NEW HORIZONS HOMES COMMUNITY CARE FAC.INC.#5FACILITY NUMBER:
157206660
ADMINISTRATOR/
DIRECTOR:		WALKER, JOYEFACILITY TYPE:
735
ADDRESS:4512 HAHN AVENUETELEPHONE:
(661) 396-1371
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 6CENSUS: 6DATE:
03/14/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Administrator Joye Mackey TIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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On 03/14/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit and met with staff Cassandra Reveles. Administrator Joye Mackey was called. Residents were observed in the common area and in the bedrooms. LPA toured facility with staff. Two clients were present during inspection. Administrator arrived later 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 or outside. Fire extinguisher was observed with a service date: 01/18/24. Last fire drill completed on 02/14/25. An adequate supply of perishable and non-perishable food was observed. Perishable expired food was observed. Refrigerator temperature is maintained at 30 degrees F and freezer temperature maintained at 10 degrees F. All clients’ bedroom were toured and observed to have the required furnishings and with adequate lightening. All bathrooms were toured. Bathrooms observed operational and functional. Hot water temperature was tested at 90.4 degree F in the bathroom 1, 82.8 degree F in bathroom 2, and 82.5 degree F in master bathroom. Extra linens were observed. Chemicals observed stored and locked in garage cabinet.

Outside of facility toured and observed to be free of debris. Side exit observed self-closing and self-latching. Adequate outdoor seatings available for clients. Medications were observed locked in kitchen shelf. Medications check and MARs reviewed. Sample of clients’ and staff files were reviewed.

A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6.

Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 03/20/25: Lic 308, Lic 309, Lic 500, Lic 9020, Lic 610D, control of property, and current Administrator certificate. A copy of this report and appeal rights 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: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
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 3
Document Has Been Signed on 03/14/2025 02:01 PM - It Cannot Be Edited


Created By: Mai Yang On 03/14/2025 at 11:01 AM
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: NEW HORIZONS HOMES COMMUNITY CARE FAC.INC.#5
FACILITY NUMBER: 157206660

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
80076(a)(1)
80076(a)(1) Food Services (a) In facilities providing meals to clients, the following shall apply: (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the clients…All food shall be selected, stored, prepared and served in a safe and healthful manner.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, expired perishable foods was observed, poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/15/2025
Plan of Correction
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Staff immediately disregarded expired foods. POC cleared during visit.
Deficiency Dismissed
Type A
Section Cited
CCR
87355(e)(2)
87355(e)(2) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interviews conducted and records review, S3 and S4 is fingerprinted cleared and not associated to the facility has been providing care and supervision for clients and not associated to the facility, which poses an immediate risk to the health and safety of the residents.
POC Due Date: 03/15/2025
Plan of Correction
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S3 and S4 not permitted on premise until associated to the facility. Licensee is to submit LIC 9182 Fingerprint transfer request or proof S3 and S4 is associated to Fresno CCL office by POC due date 03/15/25.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:See Moua
LICENSING EVALUATOR NAME:Mai Yang
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2025


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 03/14/2025 02:01 PM - It Cannot Be Edited


Created By: Mai Yang On 03/14/2025 at 11:06 AM
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: NEW HORIZONS HOMES COMMUNITY CARE FAC.INC.#5
FACILITY NUMBER: 157206660

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
85076(d)(2)
85076(d)(2) Food Service (d) The licensee shall meet the following food supply and storage requirements: (2) Freezers shall be large enough to accommodate required perishables and shall be maintained at a temperature of zero degrees F (17.7 degrees C).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the refrigerator top freezer inside the facility was observed maintained at 10 degrees F which poses/posed an potential risk to the health and safety of the residents.
POC Due Date: 03/20/2025
Plan of Correction
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Facility shall ensure that freezers storing perishable food shall be at 0 degree F. Proof of freezer temperature maintained at 0 degrees or below shall be submitted to Fresno CCL office by POC due date 03/20/25.
Type B
Section Cited
CCR
80088(e)(1)
80088 (e)(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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Based on observation, hot water temperature tested and observed at 90.4 degrees F in bathroom near garage, 82.8 degrees F in bathroom 1, and 82.5 degrees F in master bathroom, which poses/ posed a potential health and safety risk for the person in care.
POC Due Date: 03/20/2025
Plan of Correction
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The facility shall maintain hot water temperature between 105 degree F and 120 degree F. The facility shall have a daily temperature log to ensure water temperature meets the regulation requirements. Daily temperature log with proof of hot water temperature is tested and maintained between 105 degree and 120 degree F shall be submitted to the Fresno CCL office by 03/20/25.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:See Moua
LICENSING EVALUATOR NAME:Mai Yang
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2025


LIC809 (FAS) - (06/04)
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