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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 247202428
Report Date: 09/25/2024
Date Signed: 03/05/2025 08:00:24 AM

Document Has Been Signed on 03/05/2025 08:00 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:PARK MERCEDFACILITY NUMBER:
247202428
ADMINISTRATOR/
DIRECTOR:		ELINA MOILANENFACILITY TYPE:
740
ADDRESS:3050 M STREETTELEPHONE:
(209) 722-3944
CITY:MERCEDSTATE: CAZIP CODE:
95348
CAPACITY: 125TOTAL ENROLLED CHILDREN: 0CENSUS: 71DATE:
09/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Administrator Elina MoilanenTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 09/25/2024, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct a case management inspection. LPA met with Administrator Elina Moilanen and announced the purpose of the inspection.

During this visit LPA toured the facility inside and out to conduct residents safety check. The purpose of the visit was to follow-up on an incident which occurred on 9/16/2024. On 9/16/2024, Resident (R1) was found on the floor in his room. During resident interview on 9/25/24 no concerns reported. During staff interview R1 was assisted and taken for medical evaluation. During file review R1 is independent and requires no assistance with ADL. This incident was documented and reported, responsible party for R1 was notified.

During this visit LPA requested facility files for review.

No citations were issued at this time. Exit interview conducted, report signed and copy of this report provided for facility records.
Brenda ChanTELEPHONE: (650) 266-8889
Vadim GorbanTELEPHONE: (559) 243-8080
DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
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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