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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209306
Report Date: 08/25/2025
Date Signed: 08/25/2025 12:12:08 PM

Substantiated


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
08/19/2025 and conducted by Evaluator Jimmy Duarte
COMPLAINT CONTROL NUMBER: 24-AS-20250819150154
FACILITY NAME:PSALMS 23 LOVING CARE RESIDENTIAL 2FACILITY NUMBER:
107209306
ADMINISTRATOR:COOLEY, I'ISHAFACILITY TYPE:
735
ADDRESS:2210 S EUNICE AVETELEPHONE:
(559) 270-3822
CITY:FRESNOSTATE: CAZIP CODE:
93706
CAPACITY:4CENSUS: 4DATE:
08/25/2025
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Martin AvelosTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff are not allowing residents access to food.
INVESTIGATION FINDINGS:
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On 08/25/2025, Licensing Program Analyst (LPA) J. Duarte, conducted an unannounced Complaint visit. LPA introduced self, presented identification and allowed entrance by Direct Care Staff Martin Avelos and Mark Crozier. LPA asked Martin and Mark if the administrator was available and Mark stated he is going to follow his chain of command. LPA contacted Administrator I'Isha Cooley via telephone. LPA explained to administrator the reason for today's visit. Administrator Cooley stated that she would not be available; however, she stated to conduct the investigation with Martin and Mark.

LPA toured the kitchen with Martin. LPA observed an adequate supply of perishable and non perishable food. LPA toured the pantry and in the pantry, LPA observed a cabinet on wheels utilized to store snacks. The snack cabinet was turned facinig the wall, inaccessible to residents.

Administrator arrived shortly after and LPA explained observations. Administrator advsied that the snack pantry is positioned like that because R1 steals food and she is waiting on a modification from Central Valley Regional Center.

The preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D.

Based on observation, and interviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Serigy Pidgirny
LICENSING EVALUATOR NAME: Jimmy Duarte
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
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-20250819150154
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: PSALMS 23 LOVING CARE RESIDENTIAL 2
FACILITY NUMBER: 107209306
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/25/2025
Section Cited
CCR
80072(a)(3)
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80072(a)(3) - Personal Rights -
To be free from corporal or unusual punishment, infliction of pain, humiliation, ridicule,... or other actions of punitive nature, including but not limitied to:Interference with the daily living functions, including eating,...
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Deficiency was immediately cleared during the visit. Staff repositioned the snack pantry to be accessible to residents. Administrator stated that she will place snacks in the kitchen cabinets and place over flow in the staff office.
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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: Serigy Pidgirny
LICENSING EVALUATOR NAME: Jimmy Duarte
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2