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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 207201518
Report Date: 08/17/2023
Date Signed: 08/28/2023 03:34:54 PM

Document Has Been Signed on 08/28/2023 03:34 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:SVS OAKHURST ADULT DAY PROGRAMFACILITY NUMBER:
207201518
ADMINISTRATOR:LAWRENCE, CHRISTINEFACILITY TYPE:
775
ADDRESS:49234 GOLDEN OAK DRIVETELEPHONE:
(559) 692-2922
CITY:OAKHURSTSTATE: CAZIP CODE:
93644
CAPACITY: 75CENSUS: 44DATE:
08/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Program Director- Christine Lawrence. TIME COMPLETED:
01:15 PM
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On 8/17/2023 at 11:20 a.m. Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct an annual inspection. LPA was greeted by Program Director (PD) Christine Lawrence. PD greeted LPA and allowed entry into the facility. LPA explained the reason for the visit.

Tour was conducted with PD and 1 case manager. Facility was clean, free from clutter, and odor free. LPA toured the facility inside and out. Facility currently serves 44 clients, there are 5 rooms for activities, and 5 bathrooms. LPA observed all bathrooms to be clean, odor free, and with proper hygiene products. LPA observed all listed emergency exits to be clear and free from obstruction, fire extinguishers were last serviced 12/13/22 and are in good standing. LPA tested the water temperature in 1 of the client’s bathrooms which read at 107.2 degrees F.

LPA observed staff and clients interacting with one another. During the tour of the kitchen staff case manager explained clients bring their own food but some food is kept at the facility in case clients forget to bring a lunch.

LPA observed knives, sharps, cleaning supplies, and all necessary items to be locked and inaccessible to clients.

Sample of client and staff files were reviewed and current.

Exit interview was conducted and a copy of this report was provided to Program Director Christine Lawrence.

SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2023
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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