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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209035
Report Date: 04/11/2025
Date Signed: 04/11/2025 04:55:25 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
04/01/2025 and conducted by Evaluator Jacques Leffall
COMPLAINT CONTROL NUMBER: 24-AS-20250401123836
FACILITY NAME:TRUEWOOD BY MERRILL, CLOVISFACILITY NUMBER:
107209035
ADMINISTRATOR:MAZON, PAMELAFACILITY TYPE:
740
ADDRESS:675 W ALLUVIAL AVENUETELEPHONE:
(559) 325-8400
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:148CENSUS: DATE:
04/11/2025
UNANNOUNCEDTIME BEGAN:
01:14 PM
MET WITH:TIME COMPLETED:
05:15 PM
ALLEGATION(S):
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5
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9
Staff do not ensure food meals are adequately cooked.

Staff do not provide adequate food service.
INVESTIGATION FINDINGS:
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2
3
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5
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7
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9
10
11
12
13
On 4/11/25 at 2:00 pm Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and investigate above allegation and delivered findings. LPA met with General Manager (GM) Michelle Ramos and stated purpose of the visit

The Department reviewed records and conducted interviews with staff, residents and facility Administrator. The Department toured the facility and checked all food supply. Residents were observed having dinner during the visit at 4:00 pm.

Based on interviews that were conducted residents stated there are no issues with the food. LPA observed a menu and an adequate supply of perishable and non-perishable food.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued.

Exit interview conducted. A copy of this report was distributed to Administrator who confirms signature of report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2025
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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