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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547206667
Report Date: 08/17/2023
Date Signed: 08/17/2023 02:42:24 PM

Document Has Been Signed on 08/17/2023 02:42 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:PEOPLE'S CARE BLISS CENTER VISALIAFACILITY NUMBER:
547206667
ADMINISTRATOR:NEWLIN, ASHLEYFACILITY TYPE:
775
ADDRESS:909 W MURRAY RDTELEPHONE:
5597465368
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 60CENSUS: 33DATE:
08/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Ashley Newlin, AdministratorTIME COMPLETED:
03:02 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 8/17/23 at 9:03 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry by Administrator (ADM) Ashley Newlin.

LPA toured the facility and did not observe any obstructions. Outdoor activity area observed with seating and was shaded. Facility was set at a comfortable temperature. Facility has an installed fire alarm system. Fire extinguishers last serviced on 8/7/23. Carbon monoxide detector tested and operational. Hot water measured at 114 degrees F. Sharps observed locked in lock box inside locked storage unit. Centrally stored medication observed in locked storage unit. Sick room observed. Chemicals are stored in locked closet. A sample of staff and client records were reviewed. Hand sanitizer was readily available. Hand washing signs observed.

The following updated documents are to be submitted within 2 weeks:
LIC500, LIC9020, LIC610D, LIC400, LIC402

No deficiencies cited during this inspection.

Exit interview conducted. A copy of this report was given to Administrator, whose signature confirms receipt of this report.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2023
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 3