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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107208932
Report Date: 02/28/2025
Date Signed: 02/28/2025 02:03:18 PM

Document Has Been Signed on 02/28/2025 02:03 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:MORGAN VALLEY RESIDENCEFACILITY NUMBER:
107208932
ADMINISTRATOR/
DIRECTOR:		CAUCHI, NANCYFACILITY TYPE:
740
ADDRESS:1676 E. ESCALON AVETELEPHONE:
(559) 365-8664
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY: 3CENSUS: 1DATE:
02/28/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Nancy CauchiTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
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Licensing Program Analyst (LPA) Daiquiri Boyd arrived unannounced to conduct a required annual inspection. LPA announced the purpose of the visit and met with Licensee/Administrator (AD), Nancy Cauchi.


AD told LPA that she was unable to print out her Administrator Certification and asked LPA for help. LPA pulled up the website and verified that her certificate is valid. LPA verified and updated the facility profile with AD.

LPA toured the facility inside and out. Exterior gates had springs and closed properly. LPA checked water temperature in resident’s bathroom which read at 114.6 degrees F. LPA observed fire extinguisher and was last service on 1/6/2025. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Knives are locked in the kitchen area. Medication is stored and locked in a closet next to the kitchen area. LPA observed three bedrooms which were properly furnished, had adequate lighting, and storage space. Cleaning supplies were locked in the laundry room.

Home is updated and floors are ceramic tile or vinyl tile.

Client and staff files were reviewed and found to have the necessary forms properly filled out.

LPA requested the following updated forms faxed to CCLD by 03/07/2025: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Proof of current Liability Coverage.

SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Daiquiri Boyd
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2025
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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