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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 100400622
Report Date: 10/18/2023
Date Signed: 10/18/2023 03:07:27 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
07/03/2023 and conducted by Evaluator Mai Yang
COMPLAINT CONTROL NUMBER: 24-AS-20230703110052
FACILITY NAME:TWILIGHT HAVENFACILITY NUMBER:
100400622
ADMINISTRATOR:LONG, TERESAFACILITY TYPE:
740
ADDRESS:1717 SOUTH WINERY AVENUETELEPHONE:
(559) 251-8417
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:116CENSUS: 30DATE:
10/18/2023
UNANNOUNCEDTIME BEGAN:
12:54 PM
MET WITH:CEO Kristine William via telephone and Accounts Payable Beth MuellerTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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9
Facility is going through a possible financial crisis
INVESTIGATION FINDINGS:
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On 10/18/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver finding on the
above allegation. LPA introduced self, stated the purpose of the visit, and met with Account Payable Beth Mueller. CEO Kristine Williams was called and unable to attend meeting. LPAs deliver findings via telephone.

The Department conducted interviews and reviewed records regarding the allegations. The Department was informed by CDPH of the facility’s financial issues after the SNF closed. It was discovered that funds between the skilled nursing facility and assisted living were co-mingled and the assisted living was affected. Based on LPA’s observations and interviews which were conducted, and record reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The citation for this allegation was cited on complaint #24-AS-20230421161225 on 10/18/23. This substantiation is for the record. Exit interview was conducted and appeal rights were provided. Signed report on file.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: See MouaTELEPHONE: (559) -65-7912
LICENSING EVALUATOR NAME: Mai YangTELEPHONE: 559-772-7402
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023
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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