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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 240407470
Report Date: 02/07/2024
Date Signed: 02/08/2024 10:11:02 AM

Document Has Been Signed on 02/08/2024 10:11 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: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: 42DATE:
02/07/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Program Director Irma TorresTIME COMPLETED:
01:15 PM
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On 2/7/24, Licensing Program Analyst (LPA) B. Miranda conducted an unannounced Annual Required visit. LPA introduced self, stated purpose of visit, and was allowed entrance. LPA met with Program Director Irma Torres.

LPA toured the inside of the facility which included the different classrooms, bathrooms, and kitchen area. Currently there is no outside area for the clients at the facility, the park across the street is used for outdoor activities and other locations in the community. LPA observed facility to be clean, clutter free, and odor free. LPA observed clients interacting with staff and working on activities.

Facility does not keep medications or dispense medications at the facility. Toxins, cleaning supplies, knives and sharp objects are secured and inaccessible to clients.

All fire exit routes were free and clear of obstructions. Fire extinguishers have been services as of 9/18/23 and are in good standing. Fire Dept tests the smoke alarms in the facility. Carbon monoxide detector was tested and in working condition.

LPA reviewed a sample of staff files which are current and up to date.
LPA reviewed a sample of client files which are current and up to date.

No citations issued per the California Code of Regulations Tittle 22.

Exit interview was conducted and a copy of this report LIC809 was provided to Program Director Irma Torres.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2024
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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