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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547209055
Report Date: 10/11/2023
Date Signed: 10/11/2023 11:01:51 AM

Document Has Been Signed on 10/11/2023 11:01 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:CHANCES LEARNING CENTERFACILITY NUMBER:
547209055
ADMINISTRATOR:BLUE, CARRIEFACILITY TYPE:
775
ADDRESS:823 W. CENTERTELEPHONE:
(559) 636-6004
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 36CENSUS: 27DATE:
10/11/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:36 AM
MET WITH:Monica Marrero, Co-Administrator
Carrie Blue, Licensee/Administrator		TIME COMPLETED:
11:20 AM
NARRATIVE
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On 10/11/23 at 8:36 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry by Co-Administrator Monica Marrero. Licensee/Administrator (ADM) Carrie Blue arrived a short time later.

LPA toured the facility and did not observe any obstructions. Facility was set at a comfortable temperature. Facility has an installed pull station fire alarm. Hot water in women's restroom measured at 113.4 degrees F. Facility does not assist with self-administration of medication. Sick room designated to front reception area. Chemicals are stored in locked electrical room. A sample of staff and client records were reviewed.

The following deficiencies were observed:
1. ADM and S2 do not have current first aid and CPR certification, and last expired on 6/16/23.

Deficiency is being cited based on LPA interview and record review conducted in accordance with the California Code of Regulations, Title 22, see LIC809D.

An exit interview was conducted and a Plan of Correction was reviewed and developed with the Administrator. A copy of this report and appeal rights were discussed and left with Administrator, whose signature on this form confirms receipt of these documents.

The following updated documents are to be submitted within 2 weeks:


LIC308, LIC500, LIC9020, LIC610D
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2023
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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Document Has Been Signed on 10/11/2023 11:01 AM - It Cannot Be Edited


Created By: Malia Thao On 10/11/2023 at 10:29 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: CHANCES LEARNING CENTER
FACILITY NUMBER: 547209055

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82075(f)
Health-Related Services
(f) Staff responsible for providing direct care and supervision shall receive and maintain current training in first aid and cardiopulmonary resuscitation from persons qualified by agencies including, but not limited to, the American Red Cross.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above. ADM and S2 did not have current first aid and CPR certification, and last expired on 6/16/23, which poses a potential safety or personal rights risk to persons in care.
POC Due Date: 11/10/2023
Plan of Correction
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Administrator will submit proof of current first aid/CPR certification for ADM and S2, to CCL by POC due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Melinda Hoffmann
LICENSING EVALUATOR NAME:Malia Thao
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2023


LIC809 (FAS) - (06/04)
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