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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107208998
Report Date: 10/09/2025
Date Signed: 10/09/2025 02:20:27 PM

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
10/06/2025 and conducted by Evaluator Daiquiri Boyd
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20251006115352
FACILITY NAME:DEL MUNDO HOMEFACILITY NUMBER:
107208998
ADMINISTRATOR:DEL MUNDO, ROSALIEFACILITY TYPE:
735
ADDRESS:867 OXFORD AVETELEPHONE:
(559) 797-4977
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:4CENSUS: 3DATE:
10/09/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Rosalie Del Mundo, AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
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5
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7
8
9
Staff do not ensure that the resident's dietary needs are met
Staff forced a resident to cut hair
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Daiquiri Boyd conducted the unannounced 10 Day complaint investigation visit to the facility to investigate allegations of resident's dietary needs not being met and staff forced resident to cut their hair. During this visit LPA conducted an inspection of facility food and fire alarm system, as well as interviewed staff, resident and conservator. LPA found food to be in ample supply of 7 days of non-perishible and 5 days of perishable foods in a wide vaiety, as well as drinks. LPA found boxes of cookies, crakers, soda, applesauce, in resident's room, as well as his own refridgerator. LPA found that through interview, hair cut was agreed to by resident and staff. LPA delivered investigation findings regarding the above allegations. The Department has investigated the complaint alleging: Staff do not ensure that the resident's dietary needs are met and that staff forced a resident to cut their hair. Based on the interviews conducted, records review, and observations made, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Daiquiri Boyd
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2025
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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