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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 240407470
Report Date: 02/21/2023
Date Signed: 03/02/2023 02:55:40 PM

Document Has Been Signed on 03/02/2023 02:55 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:KINGS VIEW WORK EXPERIENCE CENTER IIFACILITY NUMBER:
240407470
ADMINISTRATOR:KALEMBER, SAMUELFACILITY TYPE:
775
ADDRESS:703 "I" STREETTELEPHONE:
(209) 826-8118
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY: 60CENSUS: 44DATE:
02/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:44 AM
MET WITH:Program Director- Irma Torres TIME COMPLETED:
11:15 AM
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On 2/21/23 at 10:00 a.m. Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to conduct an annual inspection. LPA was greeted by S1 and allowed entrance into the facility. Covid pre-screening was completed. LPA explained the reason for the visit and Program Director (PD) Irma Torres was contacted. PD met with LPA and conducted tour.

LPA toured the facility inside and out. Fire extinguishers were current and in good standing. Water temperature read at 111.2 degrees Fahrenheit.

LPA observed all exits to be clear and free from obstruction. LPA observed clients and staff interacting with one another. LPA observed bathrooms to be clean and stocked with soap and paper towels. Chemicals were locked away and inaccessible to clients.

Clients bring their own lunch and are stored in the refrigerator at the facility. Facility does not use the kitchen for the residents.

No deficiencies were cited during the inspection. Exit interview was conducted and a copy of this report was provided to PD Irma Torres.

SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2023
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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