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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 207202556
Report Date: 12/15/2023
Date Signed: 12/18/2023 07:59:10 AM


Document Has Been Signed on 12/18/2023 07:59 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:MCALISTER'S RCFEFACILITY NUMBER:
207202556
ADMINISTRATOR:MC ALISTER, DUANEFACILITY TYPE:
740
ADDRESS:11976 RD 36 1/2TELEPHONE:
(559) 645-1861
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:6CENSUS: DATE:
12/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator- Duane McAlisterTIME COMPLETED:
09:45 AM
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On 12/15/23 Licensing Program Analyst (LPA) arrived at the facility to conduct an annual inspection. There were no residents or staff at the facility. LPA spoke with Administrator who was not able to come at the moment, but could arrive after a bit. LPA informed they will attempt another time to complete annual inspection. Administrator stated the residents all go to day program and staff are available at the facility after 2:00 p.m.
SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna MirandaTELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2023
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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