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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209202
Report Date: 07/11/2024
Date Signed: 07/15/2024 10:53:02 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 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
03/08/2024 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20240308163330
FACILITY NAME:ABLELIGHT, INC. -FILBERTFACILITY NUMBER:
107209202
ADMINISTRATOR:WARD, ROSALINDFACILITY TYPE:
735
ADDRESS:3235 FILBERT AVETELEPHONE:
(559) 412-7032
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:4CENSUS: 4DATE:
07/11/2024
UNANNOUNCEDTIME BEGAN:
01:02 PM
MET WITH:Administrator, Rosalind WardTIME COMPLETED:
01:48 PM
ALLEGATION(S):
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Facility staff handled client in a rough manner
Facility staff yelled in client's face
Facility staff spoke inappropriately to client
INVESTIGATION FINDINGS:
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On 7/11/2024 Licensing Program Analyst (LPA) M. Garza arrived at the facility to deliver findings on the allegations listed above. LPA met with Lead Direct Support Staff, Ivory Atkins explained reason for visit and was permitted entry into the facility. Administrator, Rosalind Ward was contacted and stated she was unavailable to come to the facility. Administrator gave permission to do the visit with Staff present and send the report for signature.

During investigation documents were reviewed and interviews were completed. During LPA’s interview conducted with S1, S1 confirmed they “handled R1 in a rough manner”, “raised their voice”/yelled in R1’s face and “spoke inappropriately” to R1. The allegations listed above are SUBSTANTIATED. Deficiencies cited per Title 22 on attached 9099D.

Exit interview conducted with Lead Staff, Ivory. A copy of this report, deficiencies and appeal right provided via email to Administrator for signature. A delivered and read receipt serves as confirmation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 24-AS-20240308163330
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: ABLELIGHT, INC. -FILBERT
FACILITY NUMBER: 107209202
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/12/2024
Section Cited
CCR
80072(a)(3)
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80072 Personal Rights
(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

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Administor to provide a plan of correction in writting by POC date. Plan of correction to include documention of steps taken.
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This requirement was not met as evidence by: LPA interviews with staff. During LPA’s interview conducted with staff, S1 confirmed they “handled R1 in a rough manner”, “raised their voice”/yelled in R1’s face and “spoke inappropriately” to R1. This poses an immediate health, safety and/or personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
LIC9099 (FAS) - (06/04)
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