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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 160400627
Report Date: 07/27/2023
Date Signed: 07/27/2023 01:13:21 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/27/2023 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20230227085040
FACILITY NAME:VALLEY CHRISTIAN HOMEFACILITY NUMBER:
160400627
ADMINISTRATOR:ALVIDREZ, ERINFACILITY TYPE:
740
ADDRESS:511 E. MALONE ST.TELEPHONE:
(559) 585-3000
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:131CENSUS: 65DATE:
07/27/2023
UNANNOUNCEDTIME BEGAN:
11:26 AM
MET WITH:Administrator, Erin AlvidrezTIME COMPLETED:
11:46 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not maintain HVAC unit in good repair
Staff do not maintain a comfortable room temperature for resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/27/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility to complete an unannounced complaint visit. LPA met with Administrator, Erin Vlidrez, introduced self and was permitted entry into the facility. LPA completed a health and safety check on residents in care. LPA observed residents in common areas and in rooms.

During the complaint LPA completed interviews, observed air conditioner filters/vents and thermostats and temperatures in residents’ rooms. Upon tour of facility 10 rooms and 6 thermostats were checked. 9 of 10 rooms ranged between 71 to 74 degrees F. R1’s room was at 78 degrees F. Outside temperature was 54 degrees F at time of visit. Thermostats were all set to the same temperature. The preponderance of evidence standard has been met and the allegations listed above are SUBSTANTIATED per Title 22. Deficiencies cited on LIC 809D.

Exit completed with Administrator, Erin Alvidrez. A copy of this report and appeal rights have been given.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: See MouaTELEPHONE: (559) -580-4596
LICENSING EVALUATOR NAME: Mary GarzaTELEPHONE: 559-365-9009
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 24-AS-20230227085040
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: VALLEY CHRISTIAN HOME
FACILITY NUMBER: 160400627
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/04/2023
Section Cited
CCR
87303(b)
1
2
3
4
5
6
7
87303 Maintenance and Operation
(b) A comfortable temperature for residents shall be maintained at all times.
1
2
3
4
5
6
7
Administrator stated fans were offered, temperature changed on thermostat per R1 request as needed. In service training to be completed with all staff. Copy of in-service sign in sheet and training material to be provided to CCL by POC
8
9
10
11
12
13
14
This requirement was not met as evidence by: LPA observation that 9 of 10 rooms check had a cooler temperature than that of R1. Temperatures ranged from 71 to 74 degrees F. Where R1’s temperature read at 78 degrees F. LPA overheard R1 inform staff it “was hot in their room” and staff failed to adjust their room temperature to make R1 more comfortable. This poses a potential health, safety and or personal rights risk to residents in care.
8
9
10
11
12
13
14
Type B
08/04/2023
Section Cited
CCR
87307(d)(2)
1
2
3
4
5
6
7
87307 Personal Accommodations and Services (d) The following space and safety provisions shall apply to all facilities: (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment.
1
2
3
4
5
6
7
Administrator stated filters are being changed approximately every 2 months and more frequently as needed. In service training to be completed with all staff. Copy of in-service sign in sheet and training material to be provided to CCL by POC
8
9
10
11
12
13
14
This requirement was not met as evidence by LPA interviews and observations: interviews disclosed maintenance is not completed unless there is an issue with a unit. Observation of air conditioner filters showed they had not been changed. This poses a potential health, safety and or personal rights risk to residents in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: See MouaTELEPHONE: (559) -580-4596
LICENSING EVALUATOR NAME: Mary GarzaTELEPHONE: 559-365-9009
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2