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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209331
Report Date: 06/21/2023
Date Signed: 06/21/2023 05:21:54 PM

Document Has Been Signed on 06/21/2023 05:21 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:ASPIRING CARE FACILITY, INCFACILITY NUMBER:
107209331
ADMINISTRATOR:VOSKANYAN, MARINEFACILITY TYPE:
740
ADDRESS:3251 WEST ELLARY AVETELEPHONE:
(559) 241-9332
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY: 6CENSUS: 0DATE:
06/21/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:43 PM
MET WITH:Licensee, Marine VoskanyanTIME COMPLETED:
05:31 PM
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On 6/21/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility to complete a Pre-Licensing inspection visit. LPA met with Licensee, Marine Voskanyan. LPA completed tour with Licensee inside and out.

Tour of facility completed. Resident’s furnishings, personal hygiene, grooming products, dishes and utensils were observed. Common areas have required furnishings and adequate lighting. 6 of 6 bedrooms will be private. Bathrooms were properly equipped with grab bars, non-slip mats and paper towels. No hand washing signs observed. Trash cans observed covered and with tight fitting lids. Hot water temperature measured at 110 degrees F. Sharps/knives and medications are locked in the kitchen cabinet. Cleaning supplies are stored in a locked laundry room cabinets. Fire extinguisher is present and was purchased 4/16/23 Smoke detectors and carbon monoxide were present and operational at time of visit. Auditory alarms observed on all exterior doors and windows. Required postings are observed. Let-Us-Know posting not the required size.

Facility toured outside. Exits and walkways free of obstruction. Gate on side of facility self-latching. Pool present and surrounded by a locked pool fencing/gate. Residents will not have use of the pool. Garage door located in lock laundry room. Residents will not have access to garage. Facility does not have a land line telephone. Facility phone number belongs to Licensee cell phone.



Due to corrections needing to be made the Pre-Licensing was not complete and the Component III was not done. No deficiencies cited during todays visit.

Exit interview completed with Licensee and a copy of this report was given.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2023
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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