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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 207209142
Report Date: 08/30/2023
Date Signed: 08/30/2023 01:02:54 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/25/2023 and conducted by Evaluator Brianna Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20230525100442
FACILITY NAME:OAKHURST BOARD AND CAREFACILITY NUMBER:
207209142
ADMINISTRATOR:LEANG, LUCYFACILITY TYPE:
740
ADDRESS:41456 PAMELA PLACETELEPHONE:
(559) 293-3174
CITY:OAKHURSTSTATE: CAZIP CODE:
93644
CAPACITY:11CENSUS: 5DATE:
08/30/2023
UNANNOUNCEDTIME BEGAN:
10:34 AM
MET WITH:Caregiver Nary NewhillTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility has no hot water
Facility roof is in disrepair
Facility has hazardous cable wires hanging on the ground
INVESTIGATION FINDINGS:
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LPA arrived to the facility at 10:34 a.m. unannounced and was greeted by Caregiver Nary Newell. LPA explained the reason for the visit and asked staff to contacted Administrator Lucy Leang to inform the Dept. was at the facility. Caregiver Nary had contacted the 2 Care Coordinators. LPA attempted to contact Administrator Lucy but was unsuccessful.

Facility has 9 bedrooms and 4 bathrooms.

1. The Department investigated the allegation: Facility has no hot water. LPA tested all 4 bathrooms, 1st bathroom read at 131.5 degrees F, 2nd bathroom read at 132.4 degrees F, 3rd bathroom read at 124.3 degrees F, & 4th bathroom read at 67.6 degrees F. LPA checked the water temperature in the kitchen which read at 67.9 degrees F. LPA observed one bathroom and kitchen to not have adequate water temperature. LPA interviewed staff on duty & residents. It was determined based on the interviews and observation that the above allegation is SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 24-AS-20230525100442
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: OAKHURST BOARD AND CARE
FACILITY NUMBER: 207209142
VISIT DATE: 08/30/2023
NARRATIVE
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2. The Department investigated the allegation: Facility roof is in disrepair. LPA toured the outside of the facility and observed a part of the roof is caving in. LPA interviewed staff on duty & residents. It was determined based on the interviews and observation that the above allegation is SUBSTANTIATED.

3. The Department investigated the allegation: Facility has hazardous cable wires hanging on the ground. LPA observed wires on the ground in the back of the facility. Wires appeared to be camera wires but can be a potential tripping hazard. LPA interviewed staff on duty & residents. It was determined based on the interviews and observation that the above allegation is SUBSTANTIATED.

Allegations 2 & 3 will both be cited together under Title 22, Division 6, Chapter 8 under regulation 87303(a)



Exit interview was conducted and a copy of this report LIC9099, 9099D, and appeal rights were provided to Caregiver Nary Newell.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 24-AS-20230525100442
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: OAKHURST BOARD AND CARE
FACILITY NUMBER: 207209142
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/31/2023
Section Cited
CCR
87303(e)(2)
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87303 Maintenance and Operation
(e) Water supplies and plumbing fixtures shall be maintained as follows:
(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).
This requirement is not met as evidenced by:
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Facility provided quote water heater will be serviced 8/30/23. LPA will return to verify water temperature is correct.
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Based on observation & interviews the licensee failed to maintain proper water temperature at the facility. Water too hot can burn resident's in care and water not dispensing water at the proper temperature cannot clean/sanitize properly. This poses an immediate health, safety, or personal rights risk to residents in care.
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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.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 24-AS-20230525100442
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: OAKHURST BOARD AND CARE
FACILITY NUMBER: 207209142
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2023
Section Cited
CCR
87303(a)
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87303 Maintenance and Operation
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
This requirement is not met as evidenced by:
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Owner Josh spoke with LPA and stated someone will be out in two days to look at the roof. Owner will provide pictures of corrections to LPA.
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Based on observation & interview the licensee failed to maintain facility. Section of the roof is caving in. Wires/cables are left on the ground which can be a tripping hazard. This poses a potential health, safety, or personal rights risk to residents in care.
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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.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4