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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157208902
Report Date: 08/08/2024
Date Signed: 08/08/2024 12:34:01 PM

Document Has Been Signed on 08/08/2024 12:34 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:TRU FOUNDATIONFACILITY NUMBER:
157208902
ADMINISTRATOR/
DIRECTOR:
APPLE, TIFFANYFACILITY TYPE:
735
ADDRESS:11509 TAGUS DRTELEPHONE:
(661) 663-7032
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 6CENSUS: 4DATE:
08/08/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Tiffany Apple, LicenseeTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 08/08/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct required Annual visit. LPA introduced self, stated the purpose of the visit, and was greeted by Licensee (L1) Tiffany Apple. LPA was granted entry into the facility. LPA toured facility with L1. Upon arrive three client was present. Later during inspection one client left to day program.

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. Medications observed kept locked in kitchen shelf. Fire extinguisher was observed with a purchase date of 03/16/24. Fire drill last completed: 07/01/24. First Aid kit observed to have all the required items. Cleaning supplies and chemicals stored and locked under kitchen counter and in laundry room. An adequate supply of perishable and non-perishable food was observed. Temperature maintained for refrigerator at 40 degrees F and freezer at 0 degrees F. All bedrooms were observed to have the required furnishings and with adequate lightening. Surveillance camera observed in the bedroom 1 and bedroom 3. Bathrooms were properly equipped, and the hot water temperature was tested at 106.7 degrees F in bathroom 1. Outside of facility toured and observed to be free of debris. Side gate observed self-closing. Carbon monoxide and smoke detector observed operational during inspection. All client and sample of staff files reviewed to have all required documents.

No deficiencies issued is issued at this time. A follow up case management will be conducted if necessary.

Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 08/14/24. Forms requested: Lic 308 Lic 500, Lic 610D, Lic 9020, Lic 400, and Lic 402. A copy of this report was provided to Licensee, whose signature on this form confirms receipt of this report.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2024
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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