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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 275202698
Report Date: 10/24/2024
Date Signed: 10/24/2024 01:34:48 PM

Document Has Been Signed on 10/24/2024 01:34 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:BRIDGE HOUSEFACILITY NUMBER:
275202698
ADMINISTRATOR/
DIRECTOR:		GOMEZ, MIRIAM GONZALEZFACILITY TYPE:
772
ADDRESS:601/603 BAYONET CIRCLETELEPHONE:
(831) 647-3000
CITY:MARINASTATE: CAZIP CODE:
93933
CAPACITY: 14CENSUS: 13DATE:
10/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:47 PM
MET WITH:Administrator Miriam Gonzalez GomezTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 10/24/24 Licensing Program Analyst arrived to the facility unannounced to follow-up on an incident report previously submitted to the Dept. LPA met with Administrator Miriam Gonzalez Gomez and staff.

The Dept received an incident report in September of 2024 regarding bed bugs found in the facility. AD stated the bed bugs were only found in 2 resident rooms. The facility did not have to relocate outside of the facility and the situation has since been rectified. The facility conducts weekly inspections for bed bugs in order to prevent the spread of bed bugs. Currently there have been no other issues. The facility has an internal maintenance Dept. for pest control.
Administrator stated there is an extensive procedure put into place to prevent bed bugs.

LPA did not observe any discrepancies at the time. The facility has an immediate plan in place in case bed bugs are found in the facility.

Exit interview was conducted and a copy of this report LIC809 was provided to Administrator Miriam Gonzalez Gomez
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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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