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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 100400622
Report Date: 06/03/2025
Date Signed: 07/31/2025 12:58:17 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 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
05/07/2025 and conducted by Evaluator Rachel A Bruce
COMPLAINT CONTROL NUMBER: 24-AS-20250507095653
FACILITY NAME:STONEHAVEN SENIOR LIVINGFACILITY NUMBER:
100400622
ADMINISTRATOR:CARTER, BENJAMINFACILITY TYPE:
740
ADDRESS:1717 SOUTH WINERY AVENUETELEPHONE:
(559) 251-8417
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:116CENSUS: 74DATE:
06/03/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:JayCee Sanderson TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff do not ensure that residents' dietary needs are met
Staff do not serve residents food of good quality
INVESTIGATION FINDINGS:
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On June 3, 2025, Licensing Program Analyst (LPA) R Bruce met with Administrator, JayCee Sanderson, Administrator for the purpose of delivering findings regarding the above allegations.

Staff do not ensure that resident's dietary needs are met: Investigation revealed that special dietary needs are documented, monitored and honored. Staff do not serve residents good quality food: The food is delivered and coordinated with outside companies: Sysco and US Foods and meets the regulatory standards. The resident's are also offered alternative choices if what is offered is not to their liking.
During the course of this investigation LPA reviewed facility documentation relevant to the complaint investigation, as well as conducting inspection of the kitchen, and conducting interviews of residents during the meal service, as well as staff. Based on investigation the preponderance of evidence standard has not been met and it was determined that the above allegations regarding food service are UNFOUNDED and Community Care Licensing is therefore dismissing the complaint.
An exit interview was conducted and a copy of this report was provided to the Administrator.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Rachel A BruceTELEPHONE: (559) 470-9001
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
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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