100400448-9-30-2022-24-AS-SPIY-CNTLPU-20230207075627

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100400448
Report Date: 09/30/2022
Date Signed: 09/30/2022 10:07:21 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/31/2022 and conducted by Evaluator Les Xiong

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20220131110715

FACILITY NAME:	NAZARETH HOUSE		FACILITY NUMBER:	100400448
ADMINISTRATOR:	O'NEILL, ROSEMARY, R.N.		FACILITY TYPE:	740
ADDRESS:	2121 NORTH FIRST STREET		TELEPHONE:	(559) 237-2257
CITY:	FRESNO	STATE: CA	ZIP CODE:	93703
CAPACITY:	110	CENSUS: 73	DATE:	09/30/2022
		UNANNOUNCED	TIME BEGAN:	09:06 AM
MET WITH:	Sara Guidry		TIME COMPLETED:	10:37 AM

ALLEGATION(S):

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Personal Rights violations.
Facility is in disrepair.
Reporting Requirements are not met.
Personnel Requirements are not met.
Administrator's Qualifications and Duties are not met.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Sara Guidry, Asst. Executive Dir., and informed her the purpose of the visit.
During the course of this investigation LPA toured the facility and spoke to persons relevant to the complaint investigation. It was determined that the above allegations: Personal Rights violations, Facility is in disrepair, Reporting Requirements are not met, Personnel Requirements are not met, and Administrator's Qualifications and Duties are not met are UNFOUNDED. The investigation indicated there were no personal rights violation, facility was in good repair, reporting requirements were done as per title 22, personnel requirments were met, and administrator met qualifications as per title 22. This agency has investigated the complaint alleging (Personal Rights violations, Facility is in disrepair, Reporting Requirements are not met, Personnel Requirements are not met, and Administrator's Qualifications and Duties are not met). We have found that the complaint was unfounded, therefore we have dismissed the complaint.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Sergiy Pidgirny	TELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Les Xiong	TELEPHONE: (559) 410-1772
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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