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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157209440
Report Date: 04/23/2024
Date Signed: 04/23/2024 11:37:25 AM

Document Has Been Signed on 04/23/2024 11:37 AM - 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:THRIVE CRISIS HOMEFACILITY NUMBER:
157209440
ADMINISTRATOR/
DIRECTOR:		DURAN, RONALDFACILITY TYPE:
735
ADDRESS:12412 MONTEREY BEACH DRIVETELEPHONE:
(661) 454-9324
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 3CENSUS: 0DATE:
04/23/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Licensee Stephanie Cu and Administrator Ronald Duran TIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 04/23/24, Licensing Program Analyst (LPA) Yang arrived to the facility announced to conduct the Pre licensing visit. LPA Yang met with Licensee (L1) Stephanie Cu and Administrator (A1) Ronald Duran who granted LPA entry into the facility.

The facility is a 4 bedroom and 2 ½ bathroom home and fire clearance were granted for 3 non-ambulatory for a total capacity of 3. A fire extinguisher was observed and had a service date of 03/13/24. There are no client present during this inspection. LPA toured the facility with L1 and A1. Facility was free from ground obstructions and odor free. Common areas were observed to have adequate seating and lighting available. Kitchen was toured and observed to have dishes, plates, and utensils. Refrigerator temperature maintained at 34 degrees F and freezer temperature maintained at -8 degrees F. Medications will be kept locked in cabinet near pantry. First aid kit was observed with all required items. Cleaning supplies and chemicals will be locked in a laundry shelves. LPA observed an extra supply of bed linens and personal hygiene products. Bedrooms were observed to have the required furnishing and are ready for occupancy. Hot water temperature tested at 117 degrees F in bathroom 1 , range 113.7 degree F and 114.4 in bathroom 2, and ranged between 116.2 degrees F in bathroom 3. Outside of facility toured. Exit were open and free of obstructions with self-closing side gate. Adequate outdoor seatings available for client. LPA observed side gate to be self-latching and free of debris. Carbon monoxide was observed operational. Smoke detector is connected throughout the facility.

Facility phone number will be (661) 422-7104.

Component III was conducted during pre-licensing visit with Applicants.

I have found that applicant has met all pre licensing requirements. LPA will submit documentation to CAB in
Sacramento for final review prior to license being issued.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE: DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/23/2024
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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