<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 275202077
Report Date: 10/22/2024
Date Signed: 10/22/2024 01:48:47 PM

Document Has Been Signed on 10/22/2024 01:48 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:SVS MARINA ADULT DAY PROGRAMFACILITY NUMBER:
275202077
ADMINISTRATOR/
DIRECTOR:		RITA FAATUAIFACILITY TYPE:
775
ADDRESS:330 RESERVATION RD. STE. DTELEPHONE:
(831) 582-2961
CITY:MARINASTATE: CAZIP CODE:
93933
CAPACITY: 60CENSUS: 44DATE:
10/22/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:25 AM
MET WITH:Administrator Rita FaatuaiTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/22/24 Licensing Program Analyst (LPA) B. Miranda arrived at the above facility to conducted an unannounced Annual Required visit. LPA introduced self, stated purpose of visit, and was allowed entrance. LPA met with Administrator Rita Faatuai.

LPA observed staff interacting with clients. Current census for today was 44. LPA observed the entrance of the facility to be clean, odor free, and free from clutter.

LPA reviewed a sample of staff files. Sample of files had applications, health screenings, first aid cards, and background clearances. LPA observed Administrator training hours to be less than the required 30 hours, and staff training verification was less than the required 8 annual hours.

LPA observed infection control plan to be complete and up to date.

Due to time constraints annual inspection will be completed at a later date. Citations for deficiencies will be issued at the follow-up visit.

Exit interview was conducted and a copy of this report LIC809 was provided to Administrator Rita Faatuai.

SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1