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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107208240
Report Date: 04/29/2026
Date Signed: 04/29/2026 09:55:13 AM

Unsubstantiated


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
04/22/2026 and conducted by Evaluator Daiquiri Boyd
COMPLAINT CONTROL NUMBER: 24-AS-20260422082235
FACILITY NAME:LYNN HOMEFACILITY NUMBER:
107208240
ADMINISTRATOR:TATUM, ATLENAFACILITY TYPE:
735
ADDRESS:2715 HELM AVETELEPHONE:
(559) 348-9946
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:6CENSUS: 6DATE:
04/29/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrators Atlena Tatum and Cassandra BosquezTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure residents are spoken to in an appropriate manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Daiquiri Boyd conducted the complaint investigation visit to the facility. LPA met with Administrators Atlena Tatum and Cassandra Bosquez. During this visit LPA delivered investigation findings regarding the above allegation. The Department has investigated the complaint alleging: Facilty staff do not ensure residents are spoken to in an appropriate manner. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Daiquiri Boyd
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026
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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