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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107207113
Report Date: 02/06/2025
Date Signed: 02/06/2025 02:49:11 PM

Document Has Been Signed on 02/06/2025 02:49 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:BONAVENTE HOME FOR THE ELDERLY #2FACILITY NUMBER:
107207113
ADMINISTRATOR/
DIRECTOR:		BONAVENTE, NIDAFACILITY TYPE:
740
ADDRESS:6097 HARRISONTELEPHONE:
(559) 313-9052
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY: 6CENSUS: 6DATE:
02/06/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Licensee/Administrator, Nida BonaventeTIME VISIT/
INSPECTION COMPLETED:
02:54 PM
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On this date, an Informal Office Meeting was conducted at the Regional Office with the Licensee to address concerns and citations that were issued. Present during the meeting were:

See Moua, Licensing Program Manager I
Mary Garza, Licensing Program Analyst

Licensee/Administrator, Nida Bonavente
Designee, RoseMarie Reimer

The facility was previously cited for the following issues and concerns on a Case Management on 1/17/25 and Annual visit on 12/26/2024:
- Activities or computer/internet access for the residents
- Physical Plant issues – dishwasher is not operational, mattress for a resident needs replacement,
broken tiles, holes in a wall, bedroom door needs repair, general cleaning
- Staff not having required training and CPR training
- Facility not having an Emergency Disaster Plan

Complaint allegations that were Substantiated on 1/17/2025:
- Staff are not distributing residents P&I monies timely
- There is not enough food at the facility to meet residents needs
- Staff are not providing snacks to residents in care
- Staff are not providing residents their clothing allowance timely
- Staff do not meet the medical/mental health needs of residents

CONT...
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: BONAVENTE HOME FOR THE ELDERLY #2
FACILITY NUMBER: 107207113
VISIT DATE: 02/06/2025
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CONT...

The following were discussed and explained:
- Compliance does not mean just completing POCs after the Department issue citations. The facility
should aim and be proactive in making sure its operation meets Title 22 regulations. The Department is transparent that the regulations and CARE Tools are available.
- Licensee’s intent for the facility - Licensee stated at this time there is no intent to close or sell the facility
- TSP services were offered and Licensee declined
- P&I money to the residents – the licensee can not commingle the resident’s funds with the facility’s
business account. The licensee must submit a plan on getting P&I money to residents in a timely
manner (48 hours or less).
- Solvency Audit if warranted.
- Administrative Actions - Continued non-compliance means the Department may take Administrative Action. This includes any of the following: revocation of the licensee, exclusion of staff, Administrator certificate de-cert, etc.
-Concern regarding Licensee/Administrator of Record Nida’s availability was also discussed. During the LPA’s last few visits, Nida has been unavailable.

Exit interview completed with Licensee, Nida and Designee, Rose Marie. A copy of this report was provided.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC809 (FAS) - (06/04)
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