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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209046
Report Date: 09/12/2023
Date Signed: 09/12/2023 12:24:06 PM


Document Has Been Signed on 09/12/2023 12:24 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:RAYMER CARE RESIDENCESFACILITY NUMBER:
157209046
ADMINISTRATOR:REYES, MERIAMFACILITY TYPE:
740
ADDRESS:1525 SUGARLEAF RIDGE DRIVETELEPHONE:
(661) 885-7791
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:6CENSUS: 0DATE:
09/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Licensee Meriam ReyesTIME COMPLETED:
12:30 PM
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On 09/12/23, 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 Licensee Meriam Reyes. The facility currently has no clients.

The tour started in the common areas, to the kitchen, to clients’ bedrooms, and bathrooms. The facility was observed to be at a comfortable temperature of degrees F, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. Medications will be kept locked in cabinet in the kitchen area. Cleaning chemicals observed store and locked inaccessible in dining cabinet. First Aid kit was observed to have all required items.

Residents’ bedrooms were toured. LPA observed 4 vacant rooms to be adequately furnished with bed, dresser, and adequate lighting. Bathrooms were properly equipped and observed to be operational. Hot water temperature was tested 118.9 degrees F in bathroom 1 and range between 118 and 119.4 degrees F in the master bathroom. Outside of facility was toured. Side gate was self-closing and self-latching. Outside seatings available for residents. Carbon monoxides were tested and observed to be operational. All staff files were also reviewed. Staff files were observed to have current First Aid/CPR.

No deficiencies issued during this inspection.

Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 09/18/23. The following updated forms were requested: Lic 308, Lic 610E, Lic 9282, Administrator Certificate, and current liability insurance. LPA received copy of theft and loss policy and procedure and transportation procedure. A copy of this report was Licensee, whose signature confirms receipt of this report.
SUPERVISOR'S NAME: See MouaTELEPHONE: (559) -65-7912
LICENSING EVALUATOR NAME: Mai YangTELEPHONE: 559-772-7402
LICENSING EVALUATOR SIGNATURE:
DATE: 09/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/12/2023
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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