<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209297
Report Date: 11/13/2023
Date Signed: 11/13/2023 03:19:39 PM


Document Has Been Signed on 11/13/2023 03:19 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:PATHWAY ASSISTED LIVING/ WESTCHESTER GARDENSFACILITY NUMBER:
157209297
ADMINISTRATOR:MOREHEAD, NICOLEFACILITY TYPE:
740
ADDRESS:2228 TRUXTUN AVETELEPHONE:
(661) 324-3091
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY:36CENSUS: 0DATE:
11/13/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Jonathan Johnson, Licensee
Nicole Morehead, Administrator
Iustina Mignea, Attorney		TIME COMPLETED:
03:40 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A Non-Compliance Conference (NCC) was held today at the Fresno Adult and Senior Care Regional Office to discuss serious deficiencies and issues at the facility. Present were the following from facility: Licensee, Jonathan Johnson and Administrator, Nicole Morehead, Attorney Iustina Mignea; From licensing: Regional Manager (RM), Brenda White; Licensing Program Manager (LPM), Melinda Hoffmann; and Licensing Program Analyst (LPA), Malia Thao.

Discussed was the following:

Facility was licensed on 5/23/23, and since that date, has been cited five (5) Type A deficiencies for the following issues: Disseminating false and/or misleading statement, conduct inimical, oxygen administration by unqualified and/or untrained staff, and violating the personal rights of a resident. The facility has also been cited seven (7) Type B deficiencies since licensure.

Additional details of the NCC are outlined in the LIC 9111 report provided to Licensee and Administrator today, whose signatures represent their understanding and agreement to comply with the items outlined in the report.

SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) -341-3274
LICENSING EVALUATOR NAME: Malia ThaoTELEPHONE: 559-470-9001
LICENSING EVALUATOR SIGNATURE:
DATE: 11/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/13/2023
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 1