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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 275201799
Report Date: 12/14/2022
Date Signed: 03/19/2023 08:09:35 PM

Document Has Been Signed on 03/19/2023 08:09 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:SOCIAL VOCATIONAL SERVICES,SALINAS #2FACILITY NUMBER:
275201799
ADMINISTRATOR:ELISABETH MARTINFACILITY TYPE:
775
ADDRESS:335 ABBOTT STREETTELEPHONE:
(831) 245-0311
CITY:SALINASSTATE: CAZIP CODE:
93901
CAPACITY: 90CENSUS: 31DATE:
12/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Program Director, Elizabeth Nolasco TIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced visit today for the facility’s annual inspection. LPA met with Program Director Elisabeth Nolasco. There are currently 31 clients receiving services at this program. LPA inspected the interior and the exterior of the facility including the staff rooms, client activity areas, bathrooms, kitchen, and outdoor areas.

Fire extinguisher is within the safety regulation period. Smoke alarms were tested and are operational. Water temperature was tested at 109 degrees. First Aid kit is on site and complete. Toxins and cleaning supplies are locked and inaccessible.

Locked cubbies were observed in client storage area. This Day Program does not dispense medications. Clients bring their own lunches to program. LPA observed 30-day PPE supply. A sample of client files were also reviewed to have updated emergency contact information. All clients files reviewed have current Individual Program Plans and Appraisal/Needs and Services Plans on file. LPA confirmed facility staff is background cleared.

There were no deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22.



LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610 the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing.

Exit interview conducted with Elizabeth Nolasco and copy of report left at facility
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2022
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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