157209175-7-20-2026-24-AS-MYAG-DW6VA9-20260720161533

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 157209175
Report Date: 07/17/2026
Date Signed: 07/20/2026 04:16:02 PM

Document Has Been Signed on 07/20/2026 04:16 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:	HERITAGE LIVING III		FACILITY NUMBER:	157209175
ADMINISTRATOR/ DIRECTOR:	GREWAL, SHARNPREET		FACILITY TYPE:	735
ADDRESS:	3900 DOS LAGOS DRIVE		TELEPHONE:	(661) 735-5211
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93311
CAPACITY: 6		CENSUS: 5	DATE:	07/17/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:45 AM
MET WITH:	Licensee Tina Malhi and Administrator Sharnpreet “Pree” Malhi		TIME VISIT/ INSPECTION COMPLETED:	01:30 PM

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On 07/17/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit and met caregiver Inderjit Kaur. Licensee (L1) Tina Malhi and Administrator (A1) Sharnpreet “Pree” Malhi were called and arrived shortly. LPA toured facility with L1 and A1. Three clients were present upon LPA arrival. Two clients left on outing with staff 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. An adequate supply of perishable and non-perishable food was observed. The temperature is maintained for refrigerator at 36 degrees F and freezer at 0 degrees F. Fire extinguisher was observed with a service date of: 04/16/26. Fire drill last completed: 04/26/26. Medications observed locked under kitchen counter. Knives observed locked in kitchen drawer. Cleaning supplies and chemicals locked under kitchen sink, hall closet, and in laundry shelves. Washer operating and functioning during visit. All bedrooms were observed to have the required furnishings and with adequate lightning. Extra linens and towels were observed in hall closet. The bathrooms were toured. Bathrooms were observed operational during inspection. Hot water temperature was tested at 118 degrees F in bathroom 1 and between 116.1 and 120 degree F in bathroom 2. Outside of the facility toured. The side gate observed self-closing and free of debris. Adequate outdoor seating were observed available for clients. Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ and sample staff files were reviewed to have all the required documents.

No deficiency cited during inspection.

Exit Interview conducted. LPA received copies of Lic 308, Lic 610D, and Lic 9020. Requested documents is to be submitted to the department by 07/20/26: Lic 500. A copy of this report was provided to the Licensee, whose signature on this form confirms receipt of this report.

See Moua
Mai Yang
	DATE: 07/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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