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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209035
Report Date: 02/10/2025
Date Signed: 02/10/2025 12:30:43 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
02/04/2025 and conducted by Evaluator Jacques Leffall
COMPLAINT CONTROL NUMBER: 24-AS-20250204085858
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: 111DATE:
02/10/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:General Manager: Michelle RamosTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
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5
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8
9
Facility elevator is in disrepair
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
On 2/10/25 at 8:30 am Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and investigate above allegation. LPA met with General Manager (GM) Michelle Ramos and stated purpose of visit.

The Department reviewed records and conducted an interview with facility GM. The Department toured the facility and checked the status of elevator. The Department requested records regarding repair or anticipated repair of the elevator. An invoice will be submitted to Fresno CCL by the completion date of remodel.

Based on interview that was conducted the service date anticipated is 2/14/25. Residents used mobility by using stairwell and an evacuation chair. These services are assisted by facility staff to deliver food, care needs, clothing and administer medications to non-ambulatory residents.

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: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
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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