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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547208783
Report Date: 07/12/2023
Date Signed: 07/12/2023 05:36:54 PM

Document Has Been Signed on 07/12/2023 05:36 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:FRONTIER IN THE WESTFACILITY NUMBER:
547208783
ADMINISTRATOR:MARTINEZ, ARGELIAFACILITY TYPE:
737
ADDRESS:32083 MANOTA CTTELEPHONE:
(559) 735-9564
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 4CENSUS: 4DATE:
07/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:Argelia Martinez, Administrator
Rudy Amaya, Co-Administrator		TIME COMPLETED:
05:50 PM
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On 7/12/23 at 1:16 PM, Licensing Program Analyst (LPA) arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry. LPA met with Administrators (ADMs) Argelia Martinez and Rudy Amaya, Behaviorist Specialist Dr. Kaufman, and Program Liaison Assurance Development Jessica Pence.

LPA toured the facility. LPA did not observe any obstructions. Bedrooms observed with sufficient lighting and furniture. Bathrooms observed with hand soap, paper towels, and toilet paper. Hand washing signs observed posted for each bathroom. Hot water measured 107.1 degrees F. Fire extinguisher observed last serviced 12/13/22. Medication is centrally stored in med cart in staff office. First aid kit observed complete. Sufficient food supply observed. Chemicals observed in locked hall closet. Resident and staff files reviewed. Administrator certificate valid. Delayed egress exterior doors observed operational.

No deficiencies cited during this inspection.

The following updated forms are to be submitted to CCL within 2 weeks:

LIC500, LIC9020, LIC400, LIC402, LIC610D (new revision)

Exit interview conducted. A copy of this report was given to Administrator Argelia Martinez, whose signature confirms receipt of this report.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2023
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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