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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157206719
Report Date: 11/06/2024
Date Signed: 11/06/2024 01:32:17 PM

Document Has Been Signed on 11/06/2024 01:32 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:PARK RCFE, THEFACILITY NUMBER:
157206719
ADMINISTRATOR/
DIRECTOR:		MALONE, CATHYFACILITY TYPE:
740
ADDRESS:311 GARNSEY AVENUETELEPHONE:
(661) 283-4160
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 9TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
11/06/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On 11/06/24, Licensing Program Analyst (LPA) Yang arrived unannounced and attempted to conduct an
Annual Inspection. LPA knocked on the door and rang the doorbell with no answer. Television noises were heard coming from the inside of the facility. LPA contacted Licensee/Administrator Cathy Malone via telephone and left a voice message. There are no vehicle in the driveway. No signs of resident or staff present. LPA left LPA’s card on door.
See MouaTELEPHONE: (559) -65-7912
Mai YangTELEPHONE: 559-772-7402
DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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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