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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209035
Report Date: 06/05/2025
Date Signed: 06/05/2025 01:34:05 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
06/02/2025 and conducted by Evaluator Jacques Leffall
COMPLAINT CONTROL NUMBER: 24-AS-20250602085301
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: 114DATE:
06/05/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:General Manager: Michelle RamosTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff did not provide requested record(s) to resident’s representative.
Staff prevented resident from receiving private phone calls.
Staff did not ensure resident's toileting needs were met.
Staff did not ensure resident's personal hygiene item was properly stored.
Staff did not properly dispose of resident’s soiled briefs.
Staff did not treat residents with dignity or respect.
Licensee overcharged resident for services.
INVESTIGATION FINDINGS:
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On 6/5/25 at 9:30 am Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with General Manager (GM) Michelle Ramos.

The Department conducted an interviews with facility staff, reviewed facility records, resident files and incident reports. LPA toured resident's rooms and reviewed for cleanliness and any odors. LPA observed telephones accessible to residents for residents to use as needed.

Although the allegations 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 General Manager which confirms signature of this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
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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