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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547206879
Report Date: 10/18/2023
Date Signed: 10/18/2023 03:51:18 PM

Document Has Been Signed on 10/18/2023 03:51 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:DISCOVERY IN THE WESTFACILITY NUMBER:
547206879
ADMINISTRATOR:TORRES, ERICFACILITY TYPE:
735
ADDRESS:12143 AVENUE 322TELEPHONE:
(559) 372-8470
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 4CENSUS: 3DATE:
10/18/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Luis Ruiz, Administrator
Ismael Talavera, Program Supervisor		TIME COMPLETED:
02:45 PM
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On 10/18/23 at 8:45 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and met with Administrator Luis Ruiz. Program Supervisor Ismael Talavera arrived later in the inspection.

LPA toured the inside and outside of the facility. Facility has secured perimeter and delayed egress. Facility set at comfortable temperature. Fire alarm pull station installed. A smoke and carbon monoxide combo detector tested and operational. Bedrooms were checked and residents do not share bedrooms. Food supply was checked. Chemicals and cleaning supplies were checked. Sharps observed inaccessible in kitchen drawer. Medications observed locked and inaccessible in a medication cart. Fire extinguisher last serviced 12/13/22. Hot water in second shared bathroom measured 117.1 degrees F. Sample of resident and staff files reviewed. Administrator certificate valid, Certification # 6056907735.

No deficiencies cited during this inspection.

The following updated forms are to be submitted to CCL within two weeks:

LIC500, LIC9020, LIC610D, LIC400, LIC402

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: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2023
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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