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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209472
Report Date: 10/10/2024
Date Signed: 10/10/2024 12:51:38 PM

Document Has Been Signed on 10/10/2024 12:51 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:FIG GARDEN HOME CAREFACILITY NUMBER:
107209472
ADMINISTRATOR/
DIRECTOR:		YIN, SOPHATFACILITY TYPE:
740
ADDRESS:1785 W SIERRA AVENUETELEPHONE:
(559) 360-1864
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY: 6CENSUS: DATE:
10/10/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:04 AM
MET WITH:Licensee, Sophat YinTIME VISIT/
INSPECTION COMPLETED:
12:59 PM
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On 10/10/24 Licensing Program Analyst (LPA) M. Garza arrived for an announced pre-licensing inspection visit. LPA was met by Licensee, Sophat Yin and was permitted entry into the facility.

Facility is in the process of pre-licensing. This is a new facility to be licensed with no residents currently residing in the facility. Facility to be licensed for 6 residents.

During initial visit on 9/19/24, the facility had corrections to be made.This visit is being conducted as follow up on these corrections:

LPA observed 1 of 6 bedrooms that provided all the required furnishings for residents. Hallway closet transition was placed. Bathroom #1 tub observed with new caulking. Bathroom #2 doorway transitions had sharp edges that were covered. Bathroom #2 had large void that was covered. Bathroom #2 tile installation was completed. Paper towel/toilet paper holders placed in 2 of 2 restrooms. Transition from kitchen to living room replaced. Left side of fence repaired and no longer leaning. Left side fencing had fence boards replaced. Left side yard wiring removed and no longer observed. Pool hose was removed from walkway. Back yard is multi-leveled. Lighting and ground filler placed. Backyard and side yards observed clean from debris. Right side gate had spring installed and is self latching near shed. Right side gate had hole and sharp edges that were repaired. Shed containing chemicals/tools/objects that could present a danger observed locked and inaccessible. Laundry room unlocked and accessible to residents. Facility screens observed good repair with no tears/holes. All required postings observed. Electronic device for resident use observed. All items needing corrections have been corrected.

Comp III completed with Licensee. LPA will notify CAB the facility is ready to be licensed.

Exit interview completed with Licensee, Sophat. A copy of this report provided.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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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