107201156-12-4-2023-24-AS-BCHN-CYN3AV-20231218170522

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107201156
Report Date: 12/01/2023
Date Signed: 12/04/2023 11:34:40 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
07/10/2023 and conducted by Evaluator Brianna Miranda

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230710110536

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:	12:45 PM
MET WITH:	Administrator- Desiree Valero		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility does not ensure sufficient staffing is on the premises for overnight supervision
Staff yell at residents in care
Staff do not ensure residents are provided bathing assistance in a timely manner

INVESTIGATION FINDINGS:

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On 12/01/23 at 1:21 p.m. Licensing Program Analyst (LPA) 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 does not ensure sufficient staffing is on the premises for overnight supervision. LPA interviewed various sources. Some interviewees stated there was enough staff and others stated there was not enough. Staff schedules were reviewed for June & July 2023, there did not appear to be staff shortage according to interviews and the schedules at this time.

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-20230710110536

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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2. The Department investigated the allegation: Staff yell at residents in care. LPA interviewed various sources, none of the interviewees stated they have witnessed or heard staff yelling at residents in care.

3. The Department investigated the allegation: Staff do not ensure residents are provided bathing assistance in a timely manner. LPA interviewed various sources, some sources stated bath times are pushed back or not completed during the assigned shift due to time constraints. Opportunities are given to reschedule bathes.

After observation, conducting interviews, and record reviews the following was found for all three 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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