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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 247209254
Report Date: 12/06/2023
Date Signed: 12/07/2023 08:54:49 AM

Document Has Been Signed on 12/07/2023 08:54 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:SUICO RESIDENTIAL FACILITYFACILITY NUMBER:
247209254
ADMINISTRATOR:SUICO, DELIAFACILITY TYPE:
735
ADDRESS:16516 CORNER STTELEPHONE:
(209) 777-7783
CITY:DELHISTATE: CAZIP CODE:
95315
CAPACITY: 4CENSUS: 0DATE:
12/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Delia Sucio - LicenseeTIME COMPLETED:
12:05 PM
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On 12/6/2023, Licensing Program Analyst(LPA) D. Ayers arrived unannounced to conduct a Required Annual Inspection. LPA met with Licensee Delia Suico and announced the purpose of the inspection. Administrator certificate is current with expiration date 4/25/2024.

There were no residents residing in the facility at the time of inspection. During the inspection, LPA toured the facility inside an outside. All passageways and exits were clear and free from obstruction. LPA observed smoke and carbon monoxide detectors were operational. Fire extinguishers were present in the facility. Common areas were clean, well-lit, and odor free. Outdoor areas were free from hazards, and the side gate had a self-latching mechanism.

Resident bedrooms and bathrooms were clean, odor-free, and had required minimum furnishings. Bathrooms were clean, and all fixtures were functioning properly. Facility had adequate supply of perishable and nonperishable foodstuffs, which were stored properly.

No deficiencies were cited during the inspection. A copy of the report was provided and exit interview conducted.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: David Ayers
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2023
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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