107201156-12-4-2023-24-AS-BCHN-CYN3C7-20231218170727

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107201156
Report Date: 12/01/2023
Date Signed: 12/04/2023 11:33:59 AM

Unsubstantiated

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
08/07/2023 and conducted by Evaluator Brianna Miranda

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230807135519

FACILITY NAME:	FAIRWINDS - WOODWARD PARK		FACILITY NUMBER:	107201156
ADMINISTRATOR:	VALERO, DESIREE		FACILITY TYPE:	740
ADDRESS:	9525 N FT WASHINGTON RD		TELEPHONE:	(559) 434-6444
CITY:	FRESNO	STATE: CA	ZIP CODE:	93730
CAPACITY:	270	CENSUS: 254	DATE:	12/01/2023
		UNANNOUNCED	TIME BEGAN:	01:02 PM
MET WITH:	Administrator- Desiree Valero		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility is not storing an adequate amount of food at the facility.
Staff are denying food to residents.
Staff are serving food that is not of quality.
Facility is not following resident's care plan.
Facility is not delivering water for residents in care.
Facility staff threatened residents with an eviction.
Residents are unable to properly maneuver throughout the facility.

INVESTIGATION FINDINGS:

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On 12/01/23 at 1:21 p.m. Licensing Program Analyst B. Miranda arrived to the facility unannounced to deliver the finding for the allegations listed above. LPA introduced herself and explained the reason for the visit. Administrator (AD) Desire Valero was contacted.

1. The Department investigated the allegation: Facility is not storing an adequate amount of food at the facility. LPA interviewed various sources. Some interviewees stated the portions were small however when they requested more food it was given without an issue.

2. The Department investigated the allegation: Staff are denying food to residents. LPA interviewed various sources, none of the interviewees’ stated food has ever been denied to residents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna Miranda	TELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2023

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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Control Number 24-AS-20230807135519

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: FAIRWINDS - WOODWARD PARK	FACILITY NUMBER: 107201156
	VISIT DATE: 12/01/2023

NARRATIVE

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3. The Department investigated the allegation: Staff are serving food that is not of quality. LPA interviewed various sources. Some interviewees stated there was boxed food for a short period of time due to facility having emergency repairs completed.

4. The Department investigated the allegation: Facility is not following resident's care plan. LPA interviewed various sources, none of the interviewees stated they have witnessed or heard of resident’s care plans not being followed.

5. The Department investigated the allegation: Facility is not delivering water for residents in care. LPA interviewed various sources, none of the interviewees stated they have witnessed or heard of residents not being given water during repairs.

6. The Department investigated the allegation: Facility staff threatened residents with an eviction. LPA interviewed various sources, none of the interviewees stated they have witnessed or heard of residents being threatened with an eviction.

7. The Department investigated the allegation: Residents are unable to properly maneuver throughout the facility. LPA interviewed various sources, some interviewees stated it was difficult to maneuver into the public bathrooms, but not the facility in general.

After observation, conducting interviews, and record reviews the following was found for all seven allegations. Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) are unsubstantiated.

Exit interview was conducted and a copy of this report LIC9099 was provided to AD.

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brianna Miranda	TELEPHONE: 559-770-0254
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2023

LIC9099 (FAS) - (06/04)

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