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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 247209254
Report Date: 10/25/2024
Date Signed: 10/30/2024 09:11:45 AM

Document Has Been Signed on 10/30/2024 09:11 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:SUICO RESIDENTIAL FACILITYFACILITY NUMBER:
247209254
ADMINISTRATOR/
DIRECTOR:		SUICO, DELIAFACILITY TYPE:
735
ADDRESS:16516 CORNER STTELEPHONE:
(209) 777-7783
CITY:DELHISTATE: CAZIP CODE:
95315
CAPACITY: 4CENSUS: 0DATE:
10/25/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Administrator Delia SuicoTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 10/25/2024, Licensing Program Analyst (LPA) V Gorban arrived unannounced to conduct a Required Annual Inspection. LPA met with Licensee Delia Suico and announced the purpose of the inspection. Administrator certification number is 7015715735 current with expiration date 4/25/2026.

There were no residents residing in the facility at the time of inspection. During the inspection, LPA toured the facility inside an outside. LPA observed comfortable temperature of 78 degrees F. 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.

All four 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 food supplies, which were stored properly.

No deficiencies were cited during the inspection.
A copy of this report was provided to Administrator for facility records and exit interview conducted.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
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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