100400622-2-8-2023-24-AS-SMOA-CP2MLV-20230214084254

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100400622
Report Date: 02/07/2023
Date Signed: 02/08/2023 11:46:05 AM

Unsubstantiated

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
02/02/2023 and conducted by Evaluator Mai Yang

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230202094257

FACILITY NAME:	TWILIGHT HAVEN		FACILITY NUMBER:	100400622
ADMINISTRATOR:	RAMIREZ, SYLVIA		FACILITY TYPE:	740
ADDRESS:	1717 SOUTH WINERY AVENUE		TELEPHONE:	(559) 251-8417
CITY:	FRESNO	STATE: CA	ZIP CODE:	93727
CAPACITY:	116	CENSUS: 31	DATE:	02/07/2023
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Sylvia Ramirez, Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility staff do not ensure that food service sanitation practices are being followed

INVESTIGATION FINDINGS:

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On 02/07/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial 10-day complaint inspection. LPA was greeted by Plant Operation Director Daniel Wilson. LPA met with Administrator Sylvia Ramirez and discussed the purpose of the visit and findings for the allegation above.

During the course of the investigation, LPA toured the facility kitchen and observed staff with hair net. LPA observed staff putting hair net on upon arrival into facility kitchen. Facility records were reviewed. Facility in-service record provided sanitation and infection control trainings include hair net and/or head covering completely covers all hair should be worn during meal preparation and service. Interviews were conducted staff and residents stated food are properly sanitated when served to residents.

Based on interviews conducted, observations and records reviewed the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. Exit interview conducted. A copy of this report was provided to Administrator.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Mai Yang	TELEPHONE: 559-772-7402
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

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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