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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 277209280
Report Date: 08/21/2024
Date Signed: 08/21/2024 01:09:58 PM

Document Has Been Signed on 08/21/2024 01:09 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:CRESCENT HOUSE, THEFACILITY NUMBER:
277209280
ADMINISTRATOR/
DIRECTOR:		SCHOPP, MICHELLEFACILITY TYPE:
735
ADDRESS:3017 CRESCENT STTELEPHONE:
(831) 601-8474
CITY:MARINASTATE: CAZIP CODE:
93933
CAPACITY: 6CENSUS: 0DATE:
08/21/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Administrator- Michelle SchoppTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 8/21/24 Licensing Program Analyst (LPAs) B. Miranda arrived unannounced at the above facility to conduct an Annual Inspection. LPA met with Administrator Michelle Schopp and explained purpose of the visit.

LPA toured the facility inside and out including entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior.
LPA observed the facility to be at a comfortable temperature, clean and odor free. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. All bedrooms are properly furnished.

Facility capacity is 6, with a current census of 0. Facility has 7 bedrooms and 4 bathrooms. Resident’s will not share bedrooms. Fire extinguishers were last serviced as of 8/16/24 and are in good standing with charge. Smoke detectors and carbon monoxide detectors were tested and are in working condition. Water temperature was checked in the downstairs bathroom.

Knives & cleaning supplies were observed to be locked and inaccessible to residents.

Under California Code of Regulations Title 22 no deficiencies were observed, and no citations were issued at this time.

Exit interview was conducted and a copy of this report LIC809 was provided to Administrator Michelle Schopp.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 08/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2024
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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