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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 207209043
Report Date: 01/16/2024
Date Signed: 01/31/2024 07:24:39 AM


Document Has Been Signed on 01/31/2024 07:24 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:CEDAR CREEK SENIOR LIVINGFACILITY NUMBER:
207209043
ADMINISTRATOR:ELDRIDGE, KIMBERLYFACILITY TYPE:
740
ADDRESS:500 N. WESTBERRY BLVD.TELEPHONE:
(559) 673-2345
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY:162CENSUS: 74DATE:
01/16/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Informal Meeting- Administrator Kimberly EldridgeTIME COMPLETED:
11:00 AM
NARRATIVE
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An informal meeting was held on 01/16/2024 via teleconference. The purpose of the informal meeting was to discuss the findings of the Solvency Audit for Cedar Creek. The informal meeting process was explained during this meeting.

The following were in attendance:

Brenda White- Regional Office Manager (ROM)

Brenda Chan- Licensing Program Manager (LPM)

Brianna Miranda- Licensing Program Analyst (LPA)

Kimberly Eldridge- Administrator (AD)

Kelly Reynolds- Executive Director (EX)

Erika Castile - VP of Operations (VPO)

Ben Levesque - Executive VP of Operations (EVPO)

Holly McMurray - VP of Compliance (VPC)

A Solvency Audit was initiated and conducted for Cedar Creek after the Fresno Regional Office received a complaint on 6/26/23 alleging the facility was in financial distress. When the audit initially started Cedar Creek was being managed by Integral SR LVG MNGNT LLC. Cogir SL Cedar Creek LLC took over as the management company for Cedar Creek and is the current management company.

SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna MirandaTELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:
DATE: 01/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/16/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: CEDAR CREEK SENIOR LIVING
FACILITY NUMBER: 207209043
VISIT DATE: 01/16/2024
NARRATIVE
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During the meeting the following will be discussed:

• CCR, Title 22, Division 6, Section 87205 Accountability.

LPM explained the reason for the meeting was to review the findings of the audit. EVPO explained Cogir has placed a new Administrator (AD). Currently EX oversees the facility until the transitions has been completed and requirements have been met for EX to be Administrator. The current census is 74. EVPO explained the owners are the same only the management companies have changed. EVPO stated Cogir is able to meet the capacity needs, mitigate any issues, and able to meet financial requirements. LPM asked how the facility explain how utilities, control of properly, and resident’s needs will be met and maintained. EVPO explained Cogir has not had any financial issues in the past. PG&E has been placed on automatic payment, Cogir will provide current bills. EVPO stated for operations there is enough funds to cover expenses, payable will be managed. There are short term and long-term goals implemented. EVPO states there is sufficient number of staff to care for resident’s and their needs.

LPM informed attendees of TSP (Technical Support Program), and informed them to utilize the website. Attendees were also informed of Noncompliance Conference (NCC) and the Dept. may seek legal advice. LPM explained there will be an increase in frequency of visits to monitor facility is complying.

Cogir will provide a written plan describing full compliance and will be received by the Fresno Regional Office by 02/01/2024. The following documentation will also be included: current worker’s comp policy, verification for control of property/lease agreement, documentation verifying facility is no longer is financial distress, and a current facility sketch.

Citations were issued under Title 22, Division 6, Chapter 8.

Exit interview was conducted and a copy of this report LIC809, LIC809-D, and appeal rights were provided to AD- Kimberly Eldridge via email. Administrator will manually sign reports and send back.

SUPERVISOR'S NAME: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna MirandaTELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 01/31/2024 07:24 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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


FACILITY NAME: CEDAR CREEK SENIOR LIVING
FACILITY NUMBER: 207209043

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
01/17/2024
Section Cited
CCR
87205(a)

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87205 Accountability of Licensee Governing Body
(a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves.
This requirement is not met as evidenced by:
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EVPO- Ben Levesque stated a written plan describing full compliance will be created and will be received by the Fresno Regional Office by 02/01/2024.
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Based on the Department's review of records and information gathered the licensee failed to maintain financial position. Overall, the licensee is not in a good financial position. The licensee had insufficient and negative cash reserves at bank, during the review period from June 2022 to May 2023.
Based on documentation and information provided, licensee does not have an adequate financial plan required by law and is not in a good financial position.
This poses an immediate health, safety, or personal rights risk to residents in care.
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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: Brenda ChanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna MirandaTELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:
DATE: 01/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/16/2024
LIC809 (FAS) - (06/04)
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