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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209048
Report Date: 03/16/2021
Date Signed: 03/17/2021 11:07:46 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/27/2020 and conducted by Evaluator Les Xiong
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20200827142252
FACILITY NAME:COMPASS POINTE MEMORY CAREFACILITY NUMBER:
107209048
ADMINISTRATOR:HURLEY, DONNAFACILITY TYPE:
740
ADDRESS:5425 W. SPRUCE AVE.TELEPHONE:
(559) 840-9347
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:36CENSUS: DATE:
03/16/2021
UNANNOUNCEDTIME BEGAN:
09:52 AM
MET WITH:Donna HurleyTIME COMPLETED:
11:38 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility illegally evicted resident.
Resident eloped from facility on multiple occasions.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) L. Xiong called and spoke with Administrator Donna Hurley regarding the complaint allegations. Findings were delivered over the phone due to COVID 19 precautionary guidelines.

During this investigation LPA reviewed facility files and interviewed staff and other person referenced directly in the complaint relevant to the complaint investigation. It was determined that the above allegations: Facility illegally evicted resident and resident eloped from facility on multiple occasions are UNFOUNDED. LPA confirmed that an eviction never took place, R1 was relocated to another facility by the family. R1 did eloped from the facility but wasn’t due to facility’s neglect or lack of supervision. This agency has investigated the complaint alleging (Facility illegally evicted resident and resident eloped from facility on multiple occasions). We have found that the complaint was unfounded, therefore we have dismissed the complaint.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Sergiy PidgirnyTELEPHONE: (559) 650-7923
LICENSING EVALUATOR NAME: Les XiongTELEPHONE: (559) 410-1772
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2021
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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