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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 167209144
Report Date: 08/15/2023
Date Signed: 08/15/2023 12:30:58 PM


Document Has Been Signed on 08/15/2023 12:30 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:SPARKS' RESIDENTIAL SUNSET VIEWFACILITY NUMBER:
167209144
ADMINISTRATOR:SPARKS, CEIARAFACILITY TYPE:
740
ADDRESS:991 S GREEN STREETTELEPHONE:
(559) 772-8141
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:6CENSUS: 4DATE:
08/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:16 AM
MET WITH:Lead Dana Curry and Licensee/Administrator Ceiara SparksTIME COMPLETED:
12:45 PM
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On 08/15/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA was greeted by Laura Hudson. LPA introduced self, stated the purpose of the visit and request to meet with Administrator. LPA was granted entry. LPA conduct tour with Lead Dana Curry. Licensee/Administrator Ceiara Sparks arrived later during tour. No resident was present during inspection.

The tour started in the kitchen into the common areas, to the resident's bedrooms, and bathrooms. First Aid kit observed with all required items. The facility was observed to be at a comfortable temperature of 74 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. Temperature maintained for refrigerator at 40 degrees F and freezer at 0 degrees F. Cleaning supplies and chemicals stored and locked under in laundry cabinet. Fire extinguisher was observed with a service date of: 03/20/23. Fire drill last completed: 07/24/23. Medications observed kept locked in medication drawer. MARs were reviewed. All bedrooms were observed to have required furnishings and with adequate lightening. Bathrooms were properly equipped, and the hot water temperature was tested at 108.7 in bathroom.



Outside of facility toured and observed to be free of debris. Adequate outdoor seatings available for residents. All residents’ file reviewed to have update emergency contacts, Admission agreement, and Pre-Appraisal. Staff files reviewed to have current First Aid/CPR certification. Carbon monoxide and smoke detectors were tested and observed to be operational.

No deficiencies issued during this inspection. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 08/22/23. Forms requested: Lic 308, Lic 500, Lic 610E, Lic 9282, update facility sketch, current liability insurance, current Administrator Certificate. A copy of this report was provided to Licensee, whose signature on this form 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: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2023
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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