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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 207209142
Report Date: 09/20/2024
Date Signed: 09/23/2024 12:25:44 PM

Document Has Been Signed on 09/23/2024 12:25 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:OAKHURST BOARD AND CAREFACILITY NUMBER:
207209142
ADMINISTRATOR/
DIRECTOR:		LEANG, LUCYFACILITY TYPE:
740
ADDRESS:41456 PAMELA PLACETELEPHONE:
(559) 293-3174
CITY:OAKHURSTSTATE: CAZIP CODE:
93644
CAPACITY: 11CENSUS: 7DATE:
09/20/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Staff Heidy CamposTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 9/20/2024 Licensing Program Analyst (LPA) B. Miranda arrived unannounced at the facility listed above to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. Staff stated April Gaylord is the Administrator and was contacted. April asked if she needed to be at the facility and LPA informed it is not require and staff will be asked to sign the report.

LPA toured the facility inside and out including entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. LPA observed the facility to be at a comfortable temperature, clean inside, and odor free. Inside the facility is free of debris and no passageway obstructions were observed. Common areas were properly furnished and well-lit throughout. LPA observed debris outside the facility and outside not being maintained. LPA observed storage shed to be open and accessible which has tools and other hazard items. LPA observed one medication cabinet to be unlocked and accessible to residents. One drawer in the kitchen has a razor/box cutter accessible to residents. Exits of the facility did not have auditory alarms and kitchen cabinets are dirty.
Facility capacity is 11, with a current census of 7. Facility has 9 bedrooms and 4 bathrooms. At this time the current residents do not share bedrooms. Fire extinguishers were last serviced 5/2/23, there is still charge. Smoke detectors and carbon monoxide detectors were tested and 1 carbon monoxide detector is not working. Water temperature was checked in the kitchen and read at 107.9 degree Fahrenheit, one common resident's bathroom was checked and read at 116.8 degree Fahrenheit.

Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables food items to be properly stored. Knives & cleaning supplies were observed to be locked and inaccessible to residents.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2024
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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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: OAKHURST BOARD AND CARE
FACILITY NUMBER: 207209142
VISIT DATE: 09/20/2024
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LPA reviewed a sample of resident files and was not able to review staff files or listed Administrator's file Lucy Leang. LPA observed residents physician reports to be over a year old and not current. Facility did not have infection control plan, liability insurance, plan of operation, plan of operation with dementia, current resident roster available at the facility for LPA to review.

LPA conducted multiple interviews with residents who stated they are happy at the facility, feel safe, and love the food.

Follow-up visit will be conducted to complete annual inspection.
Deficiencies will be cited during the follow-up visit.
Exit interview was conducted and a copy of this report LIC809 was provided to Staff Heidy Campos.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Brianna Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC809 (FAS) - (06/04)
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