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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547202421
Report Date: 08/14/2024
Date Signed: 08/14/2024 11:53:04 AM

Document Has Been Signed on 08/14/2024 11:53 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:BRYANT-LITTLE HOME 2FACILITY NUMBER:
547202421
ADMINISTRATOR/
DIRECTOR:		BRYANT, JANICEFACILITY TYPE:
735
ADDRESS:2733 WEST COUNTRY LANETELEPHONE:
(559) 802-3589
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY: 4CENSUS: 4DATE:
08/14/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:House Manager Damon BlyTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Licensing Program Analyst (LPAs) K. Kaur and J. Leffall arrived unannounced to conduct a case management visit regarding a Decision and Order notice from the Caregiver Background Check Bureau (CBCB) requiring immediate action.

LPAs were allowed entry by House Manager Damon Bly. LPAs verified S1 was not on premises. House Manger contacted administrator Janice Bryant to confirm S1’s last day. House manager provided staff schedule for 2024 that confirmed S1 has not been scheduled for work in the last year. Staff provided termination letter that confirmed S1’s last day was January 10, 2022. Facility Personnel Summary Report was reviewed to confirm S1 was disassociated.

Report signed on site by staff and a copy of this report was provided.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Kamaldeep Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
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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